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General NPI Number Information
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NPI Number | 1336179084
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Entity Type | Organization
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Legal Business Name | REDINGTON MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 57 FAIRVIEW AVE
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1403
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Country | US
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Telephone | 207-474-6940
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Fax | 207-474-6940
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Provider Business Mailing Address
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Address Line | PO BOX 957
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City | SKOWHEGAN
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State | ME
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Zip | 04976-0957
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Country | US
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Telephone | 207-474-6940
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Fax | 207-474-6940
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. RAYMOND J LEADBETTER JR.
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Credential |
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Telephone | 207-474-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery 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 | 208000000X
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Taxonomy Name | Pediatrics 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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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