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General NPI Number Information
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NPI Number | 1952126286
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Entity Type | Individual
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Provider Name | HANNAH J FECTEAU COTA/L
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 10 HIGH ST
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1865
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Country | US
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Telephone | 207-424-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 126 OAK HILL RD
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City | NORRIDGEWOCK
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State | ME
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Zip | 04957-4023
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Country | US
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Telephone | 207-465-5260
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Fax |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OA2226
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License Number State | ME
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