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General NPI Number Information
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NPI Number | 1396545232
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Entity Type | Individual
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Provider Name | AVERY KAY MCCLURE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1952 N BRINDLEE MOUNTAIN PKWY
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City | ARAB
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State | AL
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Zip | 35016-5433
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Country | US
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Telephone | 256-931-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 COUNTY ROAD 831
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City | CULLMAN
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State | AL
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Zip | 35057-1975
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Country | US
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Telephone | 256-962-6366
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6574
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License Number State | AL
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