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General NPI Number Information
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NPI Number | 1902792146
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Entity Type | Individual
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Provider Name | JULIA NGUYEN
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Gender |
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3525 US HIGHWAY 17
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-7122
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Country | US
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Telephone | 904-604-6407
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Fax |
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Provider Business Mailing Address
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Address Line | 7507 PARK VILLAGE DR APT 1217
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0299
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Country | US
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Telephone | 901-608-0722
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11044226
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 40543
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License Number State | TN
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