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General NPI Number Information
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NPI Number | 1891181772
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Entity Type | Individual
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Provider Name | JULIA CAMILLE BEDARD-THOMAS MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 3805 EDWARDS RD STE 350
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City | CINCINNATI
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State | OH
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Zip | 45209-1940
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Country | US
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Telephone | 513-871-7848
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Fax | 513-871-3278
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Provider Business Mailing Address
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Address Line | 3805 EDWARDS RD STE 350
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City | CINCINNATI
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State | OH
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Zip | 45209-1940
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Country | US
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Telephone | 513-871-7848
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Fax | 513-871-3278
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-133012
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.133012
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License Number State | OH
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