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General NPI Number Information
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NPI Number | 1790678985
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Entity Type | Individual
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Provider Name | OLIVIA ROY
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 840 KENNEDY MEMORIAL DR
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City | OAKLAND
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State | ME
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Zip | 04963-4887
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Country | US
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Telephone | 207-716-1863
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Fax |
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Provider Business Mailing Address
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Address Line | 12 SHUMAN AVE STE 16
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City | AUGUSTA
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State | ME
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Zip | 04330-6020
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | TO4838
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License Number State | ME
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