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General NPI Number Information
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NPI Number | 1861326308
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Entity Type | Organization
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Legal Business Name | BLUEWATER THERAPY SERVICES LLC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 162 US ROUTE 1 STE 2
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8975
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Country | US
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Telephone | 207-502-5185
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Fax |
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Provider Business Mailing Address
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Address Line | 9 LANDMARK RD
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8484
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Country | US
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Telephone | 207-502-5185
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | MELISSA PRICE
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Credential | MA CCC-SLP
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Telephone | 207-502-5185
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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