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General NPI Number Information
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NPI Number | 1740071869
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Entity Type | Individual
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Provider Name | ABIGAIL MCGOVERN DPT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 449 COTTAGE RD
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-4924
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Country | US
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Telephone | 207-799-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CHELSEA WAY # 241
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City | CUMBERLAND FORESIDE
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State | ME
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Zip | 04110-1366
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Country | US
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Telephone | 978-427-7543
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Fax |
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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 |
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License Number State |
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