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General NPI Number Information
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NPI Number | 1215154356
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Entity Type | Organization
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Legal Business Name | OSTEOPATHIC HEALTHCARE OF MAINE, P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 98 CLEARWATER DR
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City | FALMOUTH
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State | ME
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Zip | 04105
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Country | US
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Telephone | 207-781-7900
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Fax | 207-781-2900
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Provider Business Mailing Address
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Address Line | 98 CLEARWATER DR
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City | FALMOUTH
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State | ME
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Zip | 04105-1398
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Country | US
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Telephone | 207-781-7900
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Fax | 207-781-2900
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD V HANKINSON
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Credential | D.O.
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Telephone | 207-781-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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