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General NPI Number Information
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NPI Number | 1851360689
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Entity Type | Individual
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Provider Name | JULIE ANN PARSONS PHD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 305 E LOGAN
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City | CALDWELL
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State | ID
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Zip | 83605
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Country | US
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Telephone | 208-454-1855
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Fax | 208-459-3012
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Provider Business Mailing Address
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Address Line | PO BOX 9006 0
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City | NAMPA
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State | ID
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Zip | 83652
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Country | US
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Telephone | 208-463-1605
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Fax | 208-459-3012
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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 | PSY286
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License Number State | ID
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