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General NPI Number Information
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NPI Number | 1356888242
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Entity Type | Organization
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Legal Business Name | SEACOAST KEYSTONE THERAPY, LLC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 55 MAIN ST
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City | NEWMARKET
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State | NH
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Zip | 03857-1666
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Country | US
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Telephone | 603-988-6626
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HOBBS RD
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City | LEE
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State | NH
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Zip | 03861-6436
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Country | US
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Telephone | 603-988-6626
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Fax |
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | DEBORAH GUARINO
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Credential | OTR/L
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Telephone | 603-988-6626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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