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NPI 1588452585

NPI 1588452585 : JULIETTE ROSE MACMURRAY : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1588452585
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    Entity Type          |    Individual 
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    Provider Name        |    JULIETTE ROSE MACMURRAY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/29/2025
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    805 6TH AVE W 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28739-4159
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    Country              |    US
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    Telephone            |    828-697-0105
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 SWEETEN GRASS HL # 4-201 
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    City                 |    ARDEN
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    State                |    NC
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    Zip                  |    28704-1217
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    Country              |    US
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    Telephone            |    843-415-5323
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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