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General NPI Number Information
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NPI Number | 1710335534
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Entity Type | Individual
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Provider Name | GREGORY A MCLARTY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2140 E 5TH ST STE 8
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City | TEMPE
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State | AZ
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Zip | 85288-3043
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Country | US
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Telephone | 480-474-4921
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Fax | 480-447-4983
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Provider Business Mailing Address
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Address Line | 36902 N ALEUTIAN DR
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85143-1469
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Country | US
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Telephone | 480-227-5639
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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 | LPT-012232
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License Number State | AZ
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