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General NPI Number Information
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NPI Number | 1861099053
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Entity Type | Organization
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Legal Business Name | JULIA GROSS FAMILY HEALTH NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 954 ROUTE 146
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City | CLIFTON PARK
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State | NY
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Zip | 12065-3639
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Country | US
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Telephone | 518-952-4000
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Fax | 518-280-3053
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Provider Business Mailing Address
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Address Line | 954 ROUTE 146
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City | CLIFTON PARK
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State | NY
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Zip | 12065-3639
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Country | US
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Telephone | 518-952-4000
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Fax | 518-280-3053
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Authorized Official
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Title or Position | FNP-C
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Name | JULIA M GROSS
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Credential | NP
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Telephone | 518-952-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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