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NPI 1255863270

NPI 1255863270 : RYAN W WEEKS DPT : YARMOUTH, ME

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General NPI Number Information
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    NPI Number           |    1255863270
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    Entity Type          |    Individual 
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    Provider Name        |    RYAN W WEEKS DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2017
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    259 MAIN ST 
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    City                 |    YARMOUTH
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    State                |    ME
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    Zip                  |    04096-4703
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    Country              |    US
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    Telephone            |    207-846-9013
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    300 SOUTHBOROUGH DR STE 120 
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    City                 |    SOUTH PORTLAND
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    State                |    ME
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    Zip                  |    04106-6978
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    Country              |    US
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    Telephone            |    207-799-8226
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    Fax                  |    207-799-9340
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT4258
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    License Number State |    ME
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