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General NPI Number Information
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NPI Number | 1003783663
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Entity Type | Individual
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Provider Name | PEYTON ELIZABETH GOSSELIN OTD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 12 SHUMAN AVE STE 16
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City | AUGUSTA
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State | ME
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Zip | 04330-6020
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Country | US
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Telephone | 207-623-3900
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Fax | 207-480-1541
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Provider Business Mailing Address
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Address Line | 76 BOWDOINHAM RD
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City | LISBON FALLS
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State | ME
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Zip | 04252-6155
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | TO4900
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License Number State | ME
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