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General NPI Number Information
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NPI Number | 1881774198
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Entity Type | Individual
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Provider Name | JULIE L. SHULMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/06/2023
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Provider Practice Location Address
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Address Line | 115 LIBERTY ST STE 10
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City | PETALUMA
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State | CA
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Zip | 94952-2320
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Country | US
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Telephone | 707-587-2396
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Fax |
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Provider Business Mailing Address
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Address Line | 752 ELM DR
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City | PETALUMA
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State | CA
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Zip | 94952-1811
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Country | US
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Telephone | 510-368-0975
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 22034
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY22034
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License Number State | CA
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