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General NPI Number Information
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NPI Number | 1811636871
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Entity Type | Organization
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Legal Business Name | JULIANA E. HARMS, LCSW
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Dates
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Enumeration Date | 05/29/2022
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1709 JUMER DR STE A
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City | BLOOMINGTON
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State | IL
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Zip | 61704-0914
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Country | US
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Telephone | 309-320-8931
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Fax |
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Provider Business Mailing Address
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Address Line | 1116 S FELL AVE
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City | NORMAL
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State | IL
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Zip | 61761-3639
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Country | US
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Telephone | 309-824-9039
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | JULIANA ELIZABETH HARMS
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Credential | LCSW ACSW
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Telephone | 309-320-8391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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