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General NPI Number Information
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NPI Number | 1730114083
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Entity Type | Individual
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Provider Name | JULIA D'AMORA DO
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2001 CRYSTAL SPRING AVE SW SUITE 302
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City | ROANOKE
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State | VA
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Zip | 24014-2462
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Country | US
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Telephone | 540-981-7653
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Fax | 540-981-7469
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Provider Business Mailing Address
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Address Line | PO BOX 40032
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City | ROANOKE
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State | VA
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Zip | 24022-0032
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Country | US
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Telephone | 540-224-5175
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Fax | 540-985-5329
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02002852A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102-201235
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License Number State | VA
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