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General NPI Number Information
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NPI Number | 1619390895
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Entity Type | Individual
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Provider Name | BRYANNE LOVELL
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Gender | Female
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 54 E MAIN ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-1323
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Country | US
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Telephone | 207-604-8434
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Fax | 844-310-0239
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Provider Business Mailing Address
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Address Line | 94 WATER ST
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City | GUILFORD
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State | ME
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Zip | 04443-6338
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Country | US
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Telephone | 207-604-8434
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Fax | 844-310-0239
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT3007
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License Number State | ME
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