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General NPI Number Information
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NPI Number | 1952124539
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Entity Type | Individual
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Provider Name | JULIANA ROYER
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Gender | Female
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 3765 CRESTWOOD PKWY NW SUITE 472
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City | DULUTH
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State | GA
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Zip | 30096
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Country | US
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Telephone | 800-920-1927
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Fax |
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Provider Business Mailing Address
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Address Line | 2102 BENNETT AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404
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Country | US
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Telephone | 615-856-7044
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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