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General NPI Number Information
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NPI Number | 1821816331
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Entity Type | Individual
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Provider Name | JULIA HEINEMAN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 8101 SANDY SPRING RD STE 250H
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City | LAUREL
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State | MD
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Zip | 20707-3527
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Country | US
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Telephone | 800-994-5403
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 CONNECTION RD
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City | KINGSVILLE
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State | MD
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Zip | 21087-1364
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Country | US
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Telephone | 443-762-2814
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | MD-10275095553
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License Number State | MD
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