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General NPI Number Information
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NPI Number | 1023619939
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Entity Type | Organization
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Legal Business Name | SPECTRUM HEALTHCARE PARTNERS, P.A
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 11 ROCK ROW STE 1A
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City | WESTBROOK
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State | ME
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Zip | 04092-4877
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Country | US
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Telephone | 207-289-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 324 GANNETT DR STE 200
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-3266
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Country | US
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Telephone | 207-482-7800
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Fax | 207-482-7898
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Authorized Official
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Title or Position | CFO
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Name | RYAN AMANDA MASELLI
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Credential |
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Telephone | 207-482-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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