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General NPI Number Information
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NPI Number | 1700473931
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Entity Type | Individual
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Provider Name | BRIAN MCNALLY PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 4543 MCKNIGHT RD
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City | PITTSBURGH
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State | PA
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Zip | 15237-3108
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Country | US
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Telephone | 412-748-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 15 SIMMS ST
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City | PITTSBURGH
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State | PA
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Zip | 15211-2236
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT029141
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License Number State | PA
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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 | PT37916
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License Number State | FL
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