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General NPI Number Information
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NPI Number | 1114582228
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Entity Type | Individual
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Provider Name | JULIA MARIE MACLAY CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1305 S SUBER RD
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City | GREER
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State | SC
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Zip | 29650-0944
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Country | US
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Telephone | 864-989-4609
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Fax | 864-989-4610
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Provider Business Mailing Address
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Address Line | 222 MARSHLAND LN
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City | GREER
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State | SC
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Zip | 29650-4776
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Country | US
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Telephone | 251-753-4160
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-130863
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-130863
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 30501
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License Number State | SC
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