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Individual
JULIA ANN CUPP
Active
Individual
JULIA ANN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39707
SC
208M00000X
Hospitalist Physician
Primary
39707
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397074
—
SC
Enumeration date
04/01/2013
Last updated
05/20/2021
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