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General NPI Number Information
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NPI Number | 1780790543
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Entity Type | Individual
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Provider Name | JOSEPH LEGERE PT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 03/27/2020
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Provider Practice Location Address
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Address Line | 361 US ROUTE 1 STE 4
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City | FALMOUTH
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State | ME
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Zip | 04105
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Country | US
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Telephone | 207-781-2543
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Fax | 207-781-5077
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Provider Business Mailing Address
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Address Line | PO BOX 6073
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City | FALMOUTH
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State | ME
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Zip | 04105-6073
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Country | US
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Telephone | 207-781-2543
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Fax | 207-781-5077
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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 | 1199
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License Number State | ME
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