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General NPI Number Information
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NPI Number | 1780098095
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Entity Type | Individual
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Provider Name | JULIA DRUDE CNM, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 880 E END RD
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City | HOMER
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State | AK
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Zip | 99603-7201
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Country | US
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Telephone | 907-435-3239
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Fax |
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Provider Business Mailing Address
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Address Line | 274 HANNA MILL POND RD
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City | CHATTAHOOCHEE
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State | FL
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Zip | 32324-3422
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Country | US
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Telephone | 850-228-6598
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9249007
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 123008
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License Number State | AK
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