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General NPI Number Information
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NPI Number | 1982562385
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Entity Type | Individual
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Provider Name | HARRY EDWARD MCCLURE LMT
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Gender | Male
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 503 GREYSTONE WAY STE F
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City | PRATTVILLE
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State | AL
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Zip | 36066-7228
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Country | US
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Telephone | 334-430-9560
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Fax | 334-491-1006
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Provider Business Mailing Address
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Address Line | 503 GREYSTONE WAY SUITE F
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City | PRATTVILLE
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State | AL
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Zip | 36066-7228
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Country | US
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Telephone | 334-430-9560
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Fax | 334-491-1006
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6292
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License Number State | AL
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