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NPI 1649316621

NPI 1649316621 : JOSHUA D HUNT PT : WATERVILLE, ME

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General NPI Number Information
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    NPI Number           |    1649316621
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA D HUNT PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/29/2007
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    234 COLLEGE AVE ORTHOPEDIC THERAPY ASSOCIATES
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    City                 |    WATERVILLE
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    State                |    ME
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    Zip                  |    04901-6226
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    Country              |    US
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    Telephone            |    207-873-5503
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    Fax                  |    207-873-5503
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Provider Business Mailing Address
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    Address Line         |    657 ALBION RD 
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    City                 |    BENTON
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    State                |    ME
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    Zip                  |    04901-2808
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    Country              |    US
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    Telephone            |    207-453-6433
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    Fax                  |    207-877-0920
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT2652
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    License Number State |    ME
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