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General NPI Number Information
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NPI Number | 1811337736
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Entity Type | Individual
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Provider Name | JULIE MAE ALDERSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 27100 CHARDON RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-1116
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Country | US
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Telephone | 724-825-0653
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Fax |
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Provider Business Mailing Address
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Address Line | 1072 HEMLOCK HILLS DR APT D
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City | AKRON
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State | OH
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Zip | 44313-8262
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40760
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO40760
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License Number State | SC
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