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Individual
JULIA COLLINS MOTHERWAY
Active
Individual
JULIA COLLINS MOTHERWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A061483
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689633125
MEDICARE GROUP NPI
CA
01
—
W1779
MEDICARE GROUP PTAN
CA
01
—
WA61483D
MEDICARE PTAN
CA
Enumeration date
02/12/2007
Last updated
05/22/2009
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