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General NPI Number Information
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NPI Number | 1871938878
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Entity Type | Organization
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Legal Business Name | JULIE A. HOVRUD, PLLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 4010 BARRETT DR SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27609-6622
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Country | US
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Telephone | 919-810-0858
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Fax | 919-900-8182
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Provider Business Mailing Address
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Address Line | 4010 BARRETT DR SUITE 201
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City | RALEIGH
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State | NC
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Zip | 27609-6622
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Country | US
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Telephone | 919-810-0858
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Fax | 919-900-8182
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | JULIE A HOVRUD
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Credential | MSW, LCSW
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Telephone | 919-810-0858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C005394
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License Number State | NC
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