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General NPI Number Information
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NPI Number | 1700188588
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Entity Type | Individual
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Provider Name | JULIANN MARIE NEVELLS MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 19436 KULLBERG DR
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City | CHUGIAK
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State | AK
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Zip | 99567-6381
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Country | US
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Telephone | 907-441-8817
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Fax | 833-370-0295
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Provider Business Mailing Address
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Address Line | PO BOX 670117
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City | CHUGIAK
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State | AK
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Zip | 99567-0117
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Country | US
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Telephone | 907-441-8817
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Fax | 833-370-0295
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | PHYO1684
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License Number State | AK
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