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General NPI Number Information
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NPI Number | 1760060271
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Entity Type | Organization
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Legal Business Name | STEP STONE THERAPY
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 38 BENSTONE RD
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City | HEBRON
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State | ME
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Zip | 04238-3309
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Country | US
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Telephone | 207-446-5452
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BENSTONE RD
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City | HEBRON
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State | ME
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Zip | 04238-3309
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Country | US
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Telephone | 603-685-1886
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Fax |
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Authorized Official
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Title or Position | PARTNERSHIP OWNER, SPEECH PATHOLOGI
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Name | ELEANOR PIKE
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Credential | M.A., CCC-SLP
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Telephone | 207-446-5452
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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