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NPI 1285524322

NPI 1285524322 : MACKENZIE DELANEY GILL : LITTLE RIVER, SC

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General NPI Number Information
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    NPI Number           |    1285524322
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    Entity Type          |    Individual 
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    Provider Name        |    MACKENZIE DELANEY GILL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/09/2025
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    Last Update Date     |    07/09/2025
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Provider Practice Location Address
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    Address Line         |    MCLEOD HEALTH PRIMARY CARE 4237 RIVER HILLS DRIVE
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    City                 |    LITTLE RIVER
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    State                |    SC
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    Zip                  |    29566
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    Country              |    US
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    Telephone            |    843-366-3030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3431 HIGH HILL DR 
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    City                 |    LITTLE RIVER
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    State                |    SC
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    Zip                  |    29566-9302
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    Country              |    US
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    Telephone            |    843-260-7921
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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        |    363LS0200X
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    Taxonomy Name        |    School Nurse Practitioner
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    License Number       |    363LS0200X
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    License Number State |    SC
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