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General NPI Number Information
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NPI Number | 1922167675
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Entity Type | Individual
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Provider Name | JULIA MANN FLETCHER REGISTERED NURSE PRA
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 250 S GRAND AVE FOOTHILL PRESBYTERIAN HOSPITAL
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City | GLENDORA
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State | CA
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Zip | 91741
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Country | US
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Telephone | 626-857-3083
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Fax | 626-963-9461
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Provider Business Mailing Address
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Address Line | 5728 N ROWLAND AVE
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2616
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Country | US
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Telephone | 626-286-8377
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN164404 NPF8057
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License Number State | CA
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