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General NPI Number Information
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NPI Number | 1760017529
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Entity Type | Individual
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Provider Name | JULIE BASS KAPLAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 2143 AIRPARK DR
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City | REDDING
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State | CA
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Zip | 96001-2433
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Country | US
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Telephone | 530-241-8772
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Fax | 530-241-8772
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Provider Business Mailing Address
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Address Line | 2143 AIRPARK DR
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City | REDDING
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State | CA
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Zip | 96001-2433
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Country | US
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Telephone | 530-241-8772
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Fax | 530-241-8772
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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 | NP95012374
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 782758-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 585880
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License Number State | OR
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