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General NPI Number Information
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NPI Number | 1699735183
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Entity Type | Individual
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Provider Name | JULIE MARIE PRAUS MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 1919 UNIVERSITY AVE W. STE 200
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City | ST PAUL
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State | MN
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Zip | 55104-3453
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Country | US
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Telephone | 651-266-7999
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Fax | 651-266-7850
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Provider Business Mailing Address
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Address Line | 1919 UNIVERSIT AVE W. STE 200
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City | ST. PAUL
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State | MN
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Zip | 55104-3453
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Country | US
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Telephone | 651-266-7999
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Fax | 651-266-7850
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 042805E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 28946
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 18062
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 42241
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 42241
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License Number State | MN
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