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General NPI Number Information
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NPI Number | 1801323571
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Entity Type | Individual
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Provider Name | JULIA KING PSY.D., MBA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 23 WILLIAMSBURG CIR
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City | MADISON
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State | CT
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Zip | 06443-1802
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Country | US
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Telephone | 860-419-0316
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Fax | 860-507-9226
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Provider Business Mailing Address
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Address Line | 24 W MAIN ST # 337
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City | CLINTON
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State | CT
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Zip | 06413-2053
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Country | US
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Telephone | 860-419-0316
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Fax | 860-507-9226
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00628800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 130323
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 023400
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.010877
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6379
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4786
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License Number State | CT
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