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General NPI Number Information
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NPI Number | 1760715247
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Entity Type | Individual
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Provider Name | SCOTT T HANNIGAN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4 LEAVITT DR
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City | BRUNWICK
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State | ME
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Zip | 04011-5035
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Country | US
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Telephone | 207-884-8923
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Fax |
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Provider Business Mailing Address
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Address Line | 73 NEWTON RD STE 101
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City | PLAISTOW
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State | NH
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Zip | 03865-2424
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Country | US
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Telephone | 978-388-7272
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Fax | 978-388-7373
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3856
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License Number State | ME
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