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General NPI Number Information
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NPI Number | 1871867432
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Entity Type | Organization
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Legal Business Name | JULIA CRUZEN PLLC
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Dates
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Enumeration Date | 02/29/2012
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 1445 SPAULDING AVE
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City | RICHLAND
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State | WA
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Zip | 99352
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Country | US
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Telephone | 509-420-0423
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Fax | 509-420-0424
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Provider Business Mailing Address
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Address Line | 1445 SPAULDING AVE
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City | RICHLAND
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State | WA
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Zip | 99352
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Country | US
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Telephone | 509-420-0423
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Fax | 509-420-0424
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | DANNIELLE BOUCHER
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Credential |
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Telephone | 509-420-0423
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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 | LH 60151067
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License Number State | WA
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