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General NPI Number Information
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NPI Number | 1578063244
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Entity Type | Individual
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Provider Name | LAUREN MCCLOY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 30785 GRATIOT AVE
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City | ROSEVILLE
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State | MI
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Zip | 48066-1712
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Country | US
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Telephone | 586-200-6601
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Fax | 586-200-6602
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Provider Business Mailing Address
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Address Line | 2122 YORK RD STE 300
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City | OAK BROOK
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State | IL
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Zip | 60523-1925
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Country | US
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Telephone | 630-575-1980
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 55010180299
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501018029
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License Number State | MI
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