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General NPI Number Information
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NPI Number | 1184142382
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Entity Type | Organization
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Legal Business Name | BRIAN MCLEAN, PLLC
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1169 EASTERN PKWY STE 1128
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 270-217-2260
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Fax | 855-391-2345
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Provider Business Mailing Address
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Address Line | 1169 EASTERN PKWY STE 1128
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City | LOUISVILLE
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State | KY
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Zip | 40217-1417
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Country | US
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Telephone | 270-217-2260
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Fax | 855-391-2345
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | BRIAN MCLEAN
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Credential | LPP
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Telephone | 270-217-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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