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General NPI Number Information
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NPI Number | 1770463630
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Entity Type | Individual
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Provider Name | JOHN MICHAEL MACLEOD
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 102 MILE OF CARS WAY
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City | NATIONAL CITY
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State | CA
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Zip | 91950-6603
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Country | US
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Telephone | 619-474-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 604 ROUTE 6A
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City | EAST SANDWICH
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State | MA
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Zip | 02537-1437
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Country | US
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Telephone | 508-648-9220
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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 | 308124
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License Number State | CA
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