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NPI 1396812442

NPI 1396812442 : WELCH & MCLOY PEDIATRIC CLINIC, INC. : DADE CITY, FL

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General NPI Number Information
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    NPI Number           |    1396812442
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELCH & MCLOY PEDIATRIC CLINIC, INC. 
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Dates
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    Enumeration Date     |    11/30/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    38051 PASCO AVE 
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    City                 |    DADE CITY
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    State                |    FL
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    Zip                  |    33525-4234
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    Country              |    US
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    Telephone            |    727-848-6747
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    Fax                  |    727-847-3107
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1502 6646 US HWY 19
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34656-1502
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    Country              |    US
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    Telephone            |    727-848-6747
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    Fax                  |    727-847-3107
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Authorized Official
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    Title or Position    |    TREASURER
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    Name                 |    MR. RICHARD JOSEPH MCLOY 
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    Credential           |    M.S.,CCC-SLP,L
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    Telephone            |    727-848-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    
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    License Number State |    
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