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General NPI Number Information
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NPI Number | 1801981808
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Entity Type | Organization
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Legal Business Name | MARK MCDONALD P.T., P.C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 427 W MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-3033
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Country | US
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Telephone | 970-522-7743
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Fax | 970-522-8835
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Provider Business Mailing Address
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Address Line | 427 W MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-3033
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Country | US
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Telephone | 970-522-7743
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Fax | 970-522-8835
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK MCDONALD
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Credential | DPT,OCS
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Telephone | 970-522-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0229266
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0229266
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License Number State | CO
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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 | 0229266
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License Number State | CO
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