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General NPI Number Information
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NPI Number | 1245252212
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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 | 07/25/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 22 BRAMHALL ST
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City | PORTLAND
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State | ME
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Zip | 04102-3134
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Country | US
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Telephone | 207-662-2526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95000 LB#7810
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City | PHILADELPHIA
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State | PA
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Zip | 19195-0001
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Country | US
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Telephone | 207-482-7800
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. 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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) 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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) 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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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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 | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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