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General NPI Number Information
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NPI Number | 1558091058
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Entity Type | Individual
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Provider Name | CAROLYNE MCLAREN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 8355 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75231-4219
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Country | US
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Telephone | 214-466-6618
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Fax | 469-586-5909
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Provider Business Mailing Address
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Address Line | 8355 WALNUT HILL LN
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City | DALLAS
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State | TX
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Zip | 75231-4219
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Country | US
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Telephone | 214-466-6618
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2023043565
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9116770
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3019
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10004606A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 010-15359
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 345740
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00760
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License Number State | MS
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.009214
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License Number State | IL
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