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General NPI Number Information
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NPI Number | 1730421322
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Entity Type | Individual
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Provider Name | JULIA ALLEGRA BISSETT MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2013
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 5350 TRANSPORTATION BLVD STE 22
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-5307
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Country | US
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Telephone | 216-435-1110
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Fax | 216-472-8996
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Provider Business Mailing Address
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Address Line | 5350 TRANSPORTATION BLVD STE 22
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-5307
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Country | US
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Telephone | 216-435-1110
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Fax | 216-472-8996
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | COA.15807-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.372209
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License Number State | OH
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