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General NPI Number Information
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NPI Number | 1497955017
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Entity Type | Organization
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Legal Business Name | HUSSON COLLEGE
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Dates
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Enumeration Date | 07/22/2007
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 34 SUMMER ST STE 2A
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City | BANGOR
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State | ME
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Zip | 04401-6446
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Country | US
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Telephone | 207-992-9270
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Fax | 207-992-9273
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Provider Business Mailing Address
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Address Line | 34 SUMMER ST STE 2A
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City | BANGOR
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State | ME
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Zip | 04401-6446
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Country | US
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Telephone | 207-992-9270
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Fax | 207-992-9273
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. CRAIG HADLEY
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Credential | CPA
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Telephone | 207-973-1953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT400
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License Number State | ME
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