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General NPI Number Information
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NPI Number | 1407679533
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Entity Type | Individual
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Provider Name | ALECIA MARIE MAIO
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 25919 GADING RD
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City | HAYWARD
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State | CA
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Zip | 94544-2725
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Country | US
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Telephone | 510-782-8424
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Fax |
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Provider Business Mailing Address
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Address Line | 62 RIVERBEND RD
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City | WELLS
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State | ME
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Zip | 04090-4740
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Country | US
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Telephone | 603-828-4799
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 53558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PA6017
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License Number State | ME
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