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General NPI Number Information
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NPI Number | 1689916181
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Entity Type | Individual
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Provider Name | MALLORY LEIGH MCFARLANE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1157 N 300 W STE 211
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City | PROVO
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State | UT
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Zip | 84604-6124
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Country | US
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Telephone | 801-357-1250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25537
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0537
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9331370-2401
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 070.019816
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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 | 9331370-2401
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License Number State | UT
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