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General NPI Number Information
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NPI Number | 1497692560
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Entity Type | Individual
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Provider Name | MCKENNA J GULLEY
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Gender | Female
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 201 8TH ST
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City | LEWISTOWN
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State | PA
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Zip | 17044-1197
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Country | US
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Telephone | 717-248-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 316 W MARKET ST APT 1
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City | BEAVERTOWN
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State | PA
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Zip | 17813-9504
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Country | US
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Telephone | 843-318-2319
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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 | OC021289
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License Number State | PA
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