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General NPI Number Information
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NPI Number | 1518628049
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Entity Type | Individual
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Provider Name | LAUREN MCKEVITT DPT
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 6455 MALALUKA RD
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City | NORTH PORT
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State | FL
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Zip | 34287-2150
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Country | US
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Telephone | 630-640-6643
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 N LAKE SHORE DR APT 1100
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City | CHICAGO
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State | IL
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Zip | 60657-4918
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Country | US
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Telephone | 630-640-6643
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | PT44189
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 070026373
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT44189
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License Number State | FL
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