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General NPI Number Information
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NPI Number | 1912414384
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Entity Type | Individual
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Provider Name | JULIE ANN CLARKE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | PO BOX 2169
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City | LEXINGTON
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State | SC
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Zip | 29071-2169
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Country | US
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Telephone | 803-358-8496
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Fax |
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Provider Business Mailing Address
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Address Line | 619 AMBERWOOD RD
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City | PICKENS
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State | SC
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Zip | 29671-8717
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Country | US
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Telephone | 864-607-4766
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201709775NP
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License Number State | OR
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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 | 267045
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License Number State | AZ
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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 | 11015286
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60825540
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201709775NP
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 60825540
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25993
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License Number State | SC
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