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General NPI Number Information
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NPI Number | 1578019618
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Entity Type | Individual
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Provider Name | MACLEAN MORAA MASESE NP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3112 TRAMWAY RD
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City | SANFORD
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State | NC
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Zip | 27332-7142
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Country | US
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Telephone | 919-775-6160
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Fax |
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Provider Business Mailing Address
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Address Line | 100 N HOWARD ST STE W
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City | SPOKANE
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State | WA
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Zip | 99201-0508
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Country | US
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Telephone | 919-785-6936
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 248169
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70005965
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License Number State | WA
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