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General NPI Number Information
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NPI Number | 1689476491
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Entity Type | Individual
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Provider Name | JULIA CATHERINE FRACZEK MM, LPMT, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 250 WATER STONE CIR
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City | JOLIET
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State | IL
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Zip | 60431-8313
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Country | US
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Telephone | 815-740-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 31 E OGDEN AVE UNIT 432
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City | LA GRANGE
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State | IL
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Zip | 60525-2181
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Country | US
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Telephone | 734-624-5573
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 16314
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License Number State |
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