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General NPI Number Information
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NPI Number | 1205584828
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Entity Type | Organization
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Legal Business Name | MAYNESAYRE PC
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Dates
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Enumeration Date | 03/13/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 308 US ROUTE 1 STE E1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7640
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Country | US
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Telephone | 207-303-3030
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Fax | 207-303-3033
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Provider Business Mailing Address
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Address Line | 308 US ROUTE 1 STE E1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7640
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Country | US
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Telephone | 207-303-3030
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Fax | 207-303-3033
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/CO-OWNER
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Name | HILARY HAYNER
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Credential | OTR/L, CHT, CLT
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Telephone | 207-303-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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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 | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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