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General NPI Number Information
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NPI Number | 1003123514
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Entity Type | Organization
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Legal Business Name | RSU 20
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 09/03/2010
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Provider Practice Location Address
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Address Line | 31 ELEMENTARY AVE
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City | BELFAST
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State | ME
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Zip | 04915-6469
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Country | US
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Telephone | 207-338-1960
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Fax |
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Provider Business Mailing Address
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Address Line | 31 ELEMENTARY AVE
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City | BELFAST
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State | ME
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Zip | 04915-6469
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Country | US
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Telephone | 207-338-1960
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | KAREN L SHUTE
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Credential | M.A., CCC
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Telephone | 207-338-3510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 259355
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License Number State | ME
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