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General NPI Number Information
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NPI Number | 1629151063
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Entity Type | Individual
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Provider Name | LORI DENISE MCLEAN PT
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 39930 SIERRA WAY SUITE A
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City | OAKHURST
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State | CA
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Zip | 93644
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Country | US
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Telephone | 559-683-0974
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Fax | 559-683-0973
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Provider Business Mailing Address
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Address Line | 39930 SIERRA WAY SUITE A
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City | OAKHURST
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State | CA
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Zip | 93644-8304
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Country | US
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Telephone | 559-683-0974
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Fax | 559-683-0973
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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 | PT13880
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License Number State | CA
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