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General NPI Number Information
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NPI Number | 1902009848
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Entity Type | Individual
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Provider Name | JULIE LYNN LONG N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3425 BEE CAVES RD STE B3
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6693
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Country | US
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Telephone | 512-865-4424
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Fax | 512-500-2028
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Provider Business Mailing Address
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Address Line | 3425 BEE CAVES RD STE B3
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6693
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Country | US
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Telephone | 512-865-4424
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Fax | 512-500-2028
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 608462
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP109241
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License Number State | TX
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