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General NPI Number Information
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NPI Number | 1184131369
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Entity Type | Individual
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Provider Name | PENNY MCGILL
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Gender | Female
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 7478 SW 60TH AVE UNIT A
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City | OCALA
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State | FL
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Zip | 34476-6428
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Country | US
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Telephone | 352-433-1918
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Fax |
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Provider Business Mailing Address
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Address Line | 389 LAKE DIAMOND AVE
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City | OCALA
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State | FL
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Zip | 34472-5038
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Country | US
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Telephone | 352-433-1918
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA28132
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License Number State | FL
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