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NPI Code Detail

MEDICARE: JULIE CONDIE HULLINGER M.ED.

MEDICARE: JULIE CONDIE HULLINGER M.ED.
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
1235Z00000XSpeech-Language Pathologist3503SC

General Provider Information

NPI Number : 1780713545
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE CONDIE HULLINGER M.ED.
Provider Business Mailing Address
First Line : 907 BRISTLECONE CT
Second Line :
City : DUNCAN
State : SC
Zip : 29334-8942
Country : US
Telephone Number : 864-486-8235
Fax Number :
Provider Business Practice Location Address
First Line : 355 OAK GROVE RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29301-2537
Country : US
Telephone Number : 864-595-4225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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