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General NPI Number Information
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NPI Number | 1003770686
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Entity Type | Individual
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Provider Name | AMY M MACLEAN PT
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5044 FRANKFORD AVE
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City | LUBBOCK
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State | TX
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Zip | 79424-1146
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Country | US
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Telephone | 806-792-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 7712 LOUISVILLE AVE
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City | LUBBOCK
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State | TX
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Zip | 79423-1229
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Country | US
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Telephone | 806-790-1515
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1086841
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License Number State | TX
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