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General NPI Number Information
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NPI Number | 1275095572
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Entity Type | Individual
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Provider Name | REBECCA E SANDER LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 17 DOUGHTY DR STE 213
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City | BREWER
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State | ME
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Zip | 04412-2289
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Country | US
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Telephone | 802-365-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 1937 DEXTER RD
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-4010
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Country | US
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Telephone | 802-579-5684
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF6974
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License Number State | ME
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