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General NPI Number Information
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NPI Number | 1992893804
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Entity Type | Individual
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Provider Name | JULIA STEIN LONG PA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 5350 SPRING HILL DR
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City | SPRING HILL
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State | FL
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Zip | 34606-4562
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Country | US
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Telephone | 352-688-8116
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Fax | 352-688-7940
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Provider Business Mailing Address
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Address Line | 14690 SPRING HILL DR STE 101
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City | SPRING HILL
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State | FL
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Zip | 34609-8102
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Country | US
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Telephone | 352-799-0046
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Fax | 352-606-2857
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9101995
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9101995
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License Number State | FL
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