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General NPI Number Information
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NPI Number | 1720403041
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Entity Type | Individual
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Provider Name | JULIE CARNEY NP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2520 MAIN ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-4250
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Country | US
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Telephone | 860-968-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 HOWARD RD
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City | CUMMING
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State | GA
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Zip | 30040-5209
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Country | US
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Telephone | 678-938-0366
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 13715
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024193265
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 168354
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License Number State | GA
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