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General NPI Number Information
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NPI Number | 1871464164
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Entity Type | Individual
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Provider Name | YVANE DAVILMAR JULIEN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 425 ROBINSON ST
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City | BINGHAMTON
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State | NY
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Zip | 13904-1775
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Country | US
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Telephone | 607-724-1391
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Fax |
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Provider Business Mailing Address
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Address Line | 7223 LEE DEFOREST DR
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City | COLUMBIA
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State | MD
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Zip | 21046-3236
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Country | US
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Telephone | 813-402-3381
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | N06600
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License Number State | NY
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