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NPI 1902014061

NPI 1902014061 : LINDA POWER : BRUNSWICK, ME

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General NPI Number Information
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    NPI Number           |    1902014061
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    Entity Type          |    Individual 
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    Provider Name        |    LINDA POWER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2007
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    35A GURNET RD CDS-SEARCH
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    City                 |    BRUNSWICK
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    State                |    ME
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    Zip                  |    04011-2744
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    Country              |    US
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    Telephone            |    207-725-6365
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    Fax                  |    207-725-4211
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Provider Business Mailing Address
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    Address Line         |    15 OAK LEDGE LN 
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    City                 |    PHIPPSBURG
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    State                |    ME
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    Zip                  |    04562-4129
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    Country              |    US
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    Telephone            |    207-725-6365
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    Fax                  |    207-725-4211
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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       |    ME346470
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    License Number State |    ME
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