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General NPI Number Information
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NPI Number | 1821971169
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Entity Type | Organization
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Legal Business Name | RESTORATION CARE P.C.
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 100 FORE ST
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City | PORTLAND
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State | ME
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Zip | 04101-4879
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Country | US
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Telephone | 781-346-4461
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FORE ST
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City | PORTLAND
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State | ME
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Zip | 04101-4879
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Country | US
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Telephone | 781-346-4461
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | TOM HUNTER
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Credential |
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Telephone | 781-346-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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