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General NPI Number Information
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NPI Number | 1982608733
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Entity Type | Individual
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Provider Name | JULIE A LONG MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 4626 WILLOW RD STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-8564
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Country | US
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Telephone | 925-463-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 4626 WILLOW RD STE 200
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City | PLEASANTON
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State | CA
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Zip | 94588-8564
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 015021
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 015021
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License Number State | ME
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