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General NPI Number Information
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NPI Number | 1689557167
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Entity Type | Organization
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Legal Business Name | ROBYN WAUGH PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 265 MARGINAL WAY
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City | PORTLAND
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State | ME
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Zip | 04101-2542
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Country | US
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Telephone | 207-294-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BOWDOIN ST
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City | YARMOUTH
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State | ME
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Zip | 04096-8326
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Country | US
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Telephone | 207-294-2068
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Fax |
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | ROBYN WAUGH
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Credential | DPT
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Telephone | 207-294-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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