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General NPI Number Information
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NPI Number | 1225694433
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Entity Type | Organization
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Legal Business Name | ADAPT-ABLE LIVING, LLC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 53 EAST ANDOVER RD
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City | RUMFORD
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State | ME
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Zip | 04276
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Country | US
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Telephone | 207-364-7056
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Fax |
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Provider Business Mailing Address
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Address Line | 53 EAST ANDOVER RD
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City | RUMFORD
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State | ME
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Zip | 04276-4205
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Country | US
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Telephone | 207-364-7056
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MAYBRIE BETH WEISMAN
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Credential | OTR/L
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Telephone | 207-364-7056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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License Number State |
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