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General NPI Number Information
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NPI Number | 1780938613
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Entity Type | Individual
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Provider Name | JULIE B KESSEL MD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1121 43RD AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33703-4539
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Country | US
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Telephone | 813-351-0518
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 43RD AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33703-4539
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Country | US
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Telephone | 813-351-0518
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | ME92404
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | 200500069
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | MD043245E
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License Number State | PA
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