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NPI Code Detail

MEDICARE: JULIA TAVARES

MEDICARE: JULIA TAVARES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1740661545
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA TAVARES
Provider Business Mailing Address
First Line : 52 OAK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2078
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 52 OAK ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2078
Country : US
Telephone Number : 774-213-8336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2015
Last Update Date : 06/17/2015

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Directions to “ JULIA TAVARES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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