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General NPI Number Information
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NPI Number | 1952500092
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Entity Type | Organization
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Legal Business Name | NEW HEALTH P A
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 40 CHAPMAN ST
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City | BREWER
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State | ME
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Zip | 04412-1810
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Country | US
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Telephone | 207-478-6506
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Fax | 978-225-2251
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Provider Business Mailing Address
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Address Line | 40 CHAPMAN ST
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City | BREWER
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State | ME
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Zip | 04412-1810
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Country | US
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Telephone | 207-478-6506
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. DANIEL DENNIS TARDY
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Credential | PT
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Telephone | 207-478-6506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT1060
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License Number State | ME
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