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NPI 1457781684

NPI 1457781684 : STEPPING STONES THERAPY SERVICES : FARMINGDALE, ME

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General NPI Number Information
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    NPI Number           |    1457781684
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPPING STONES THERAPY SERVICES 
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Dates
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    Enumeration Date     |    11/25/2013
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    Last Update Date     |    05/20/2016
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Provider Practice Location Address
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    Address Line         |    15 HASSON ST 
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    City                 |    FARMINGDALE
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    State                |    ME
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    Zip                  |    04344-1613
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    Country              |    US
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    Telephone            |    207-588-7692
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    Fax                  |    207-588-7693
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Provider Business Mailing Address
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    Address Line         |    47 STEVENSTOWN RD 
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    City                 |    LITCHFIELD
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    State                |    ME
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    Zip                  |    04350-4300
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    Country              |    US
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    Telephone            |    207-312-1590
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/OCCUPATIONAL THERAPIST
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    Name                 |    MS. JENNIFER P CAMPBELL 
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    Credential           |    OTR/L
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    Telephone            |    207-588-7692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    OT2761
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    OT477
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    License Number State |    ME
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