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General NPI Number Information
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NPI Number | 1538270145
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Entity Type | Organization
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Legal Business Name | SEACOAST HAND THERAPY, LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 308 US ROUTE 1 SUITE E-1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7649
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Country | US
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Telephone | 207-303-3030
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Fax | 207-303-3033
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Provider Business Mailing Address
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Address Line | 308 US ROUTE 1 SUITE E-1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7649
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Country | US
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Telephone | 207-303-3030
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Fax | 207-303-3033
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | MS. JENNIFER A SCHUBERT
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Credential | PT, CHT
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Telephone | 207-303-3030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | PT527
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License Number State | ME
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