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NPI 1467439778

NPI 1467439778 : UNIVERSITY OF NEW ENGLAND : BIDDEFORD, ME

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General NPI Number Information
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    NPI Number           |    1467439778
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF NEW ENGLAND 
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Dates
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    Enumeration Date     |    12/28/2005
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    Last Update Date     |    10/25/2013
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Provider Practice Location Address
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    Address Line         |    441 MAIN ST 
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    City                 |    BIDDEFORD
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    State                |    ME
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    Zip                  |    04005-2140
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    Country              |    US
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    Telephone            |    207-602-2308
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    Fax                  |    207-602-5907
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Provider Business Mailing Address
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    Address Line         |    PO BOX 284 
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    City                 |    BRATTLEBORO
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    State                |    VT
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    Zip                  |    05302-0284
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    Country              |    US
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    Telephone            |    207-828-3145
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    Fax                  |    207-777-1439
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Authorized Official
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    Title or Position    |    VP OF FISCAL AFFAIRS
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    Name                 |     NICOLE  LABBE TRUFANT 
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    Credential           |    CPA
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    Telephone            |    207-602-2157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine 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        |    225100000X
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    Taxonomy Name        |    Physical 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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