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General NPI Number Information
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NPI Number | 1356719934
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Entity Type | Individual
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Provider Name | VALERIE KAYE MCCLAIN PTA
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Gender | Female
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 09/13/2015
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Provider Practice Location Address
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Address Line | 3851 SW GREEN OAKS BLVD SUITE 109
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City | ARLINGTON
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State | TX
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Zip | 76017-4130
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Country | US
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Telephone | 817-557-2030
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Fax | 817-557-3895
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Provider Business Mailing Address
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Address Line | 11633 EMORY TRL
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City | FORT WORTH
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State | TX
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Zip | 76244-8805
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Country | US
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Telephone | 817-781-3437
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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 | 20221424
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License Number State | TX
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