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General NPI Number Information
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NPI Number | 1609475326
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Entity Type | Individual
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Provider Name | REBECCA W MCLAREN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 30 N DEAN ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2807
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Country | US
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Telephone | 201-431-0321
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Fax | 212-287-7210
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Provider Business Mailing Address
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Address Line | 30 N DEAN ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2807
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Country | US
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Telephone | 201-431-0321
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Fax | 212-287-7210
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00632900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 029680
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License Number State | NY
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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 | 25MP00632900
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License Number State | NJ
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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 | 029680
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License Number State | NY
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