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General NPI Number Information
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NPI Number | 1194056671
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Entity Type | Individual
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Provider Name | MADELEINE KAY SEGER MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 67 PINE POINT RD
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8813
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Country | US
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Telephone | 120-788-3246
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Fax |
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Provider Business Mailing Address
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Address Line | 1266 LEWISTON RD PO BOX63
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City | NEW GLOUCESTER
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State | ME
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Zip | 04260-3404
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Country | US
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Telephone | 207-577-3429
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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 | OT1585
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License Number State | ME
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