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General NPI Number Information
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NPI Number | 1811974124
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF NEW ENGLAND
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 716 STEVENS AVE FINLEY GYM BUILDING
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City | PORTLAND
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State | ME
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Zip | 04103-2656
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Country | US
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Telephone | 207-221-4591
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Fax | 207-523-1910
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Provider Business Mailing Address
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Address Line | PO BOX 2500
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City | LEWISTON
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State | ME
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Zip | 04243-2500
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-1439
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Authorized Official
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Title or Position | DIRECTOR OF F&A
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Name | JEFFREY HUGHES
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Credential |
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Telephone | 207-602-2194
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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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