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General NPI Number Information
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NPI Number | 1861522476
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Entity Type | Organization
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Legal Business Name | DOWN EAST ORTHOPEDIC ASSOCIATES
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 404 STATE ST SUITE 400
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City | BANGOR
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State | ME
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Zip | 04401-6623
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Country | US
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Telephone | 207-942-7630
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Fax | 207-942-5686
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Provider Business Mailing Address
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Address Line | 404 STATE ST SUITE 400
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City | BANGOR
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State | ME
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Zip | 04401-6623
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Country | US
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Telephone | 207-942-7630
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Fax | 207-942-5686
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. KATHY HUGHES
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Credential |
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Telephone | 207-947-8381
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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 | PT2184
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT1533
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3023
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License Number State | ME
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