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General NPI Number Information
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NPI Number | 1811400591
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Entity Type | Individual
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Provider Name | JULIE WOODRING BRAZEL SCHOOL SLP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 7409 BROCK RD
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City | SPOTSYLVANIA
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State | VA
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Zip | 22553-2001
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Country | US
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Telephone | 540-582-7020
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Fax | 540-582-8828
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Provider Business Mailing Address
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Address Line | 10715 LOVETT DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-7720
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Country | US
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Telephone | 540-842-1251
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2203000307
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License Number State | VA
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