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General NPI Number Information
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NPI Number | 1780846881
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Entity Type | Individual
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Provider Name | JULIA G ANSARI M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 100 MERCY WAY STE 320
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City | JOPLIN
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State | MO
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Zip | 64804-4524
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Country | US
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Telephone | 417-781-5387
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Fax | 417-781-7174
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Provider Business Mailing Address
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Address Line | 100 MERCY WAY STE 320
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City | JOPLIN
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State | MO
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Zip | 64804-4524
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Country | US
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Telephone | 417-781-5387
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Fax | 417-781-7174
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9692228-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C167513
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2024040256
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 2024040256
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License Number State | MO
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