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General NPI Number Information
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NPI Number | 1710691258
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Entity Type | Individual
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Provider Name | JULIA R TALBERT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 3730 TABS DR STE 100
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City | UNIONTOWN
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State | OH
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Zip | 44685-9562
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Country | US
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Telephone | 330-595-2039
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Fax |
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Provider Business Mailing Address
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Address Line | 3730 TABS DR STE 100
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City | UNIONTOWN
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State | OH
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Zip | 44685-9562
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Country | US
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Telephone | 330-595-2039
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2204486-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C.2405759
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License Number State | OH
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