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General NPI Number Information
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NPI Number | 1891950192
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Entity Type | Individual
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Provider Name | JULIE A WURZ RN, MSN, CNS
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Gender | Female
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 193 FAIRVIEW LANE SUITE L
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City | SONORA
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State | CA
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Zip | 95370
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Country | US
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Telephone | 209-536-3720
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Fax | 209-536-3877
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Provider Business Mailing Address
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Address Line | 1000 GREENLEY ROAD
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City | SONORA
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State | CA
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Zip | 95370
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Country | US
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Telephone | 209-536-5000
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Fax | 209-536-3877
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 552668
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License Number State | CA
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