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General NPI Number Information
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NPI Number | 1306779780
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Entity Type | Individual
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Provider Name | CARRIE ELIZABETH CHASE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 169 PORT RD STE 1
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City | KENNEBUNK
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State | ME
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Zip | 04043-7754
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Country | US
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Telephone | 207-204-0679
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Fax | 207-204-0797
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Provider Business Mailing Address
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Address Line | 190 PLEASANT ST
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City | BRUNSWICK
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State | ME
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Zip | 04011-2213
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Country | US
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Telephone | 207-550-2078
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Fax | 207-536-2265
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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 | 7438
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License Number State | ME
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