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General NPI Number Information
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NPI Number | 1962783597
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Entity Type | Organization
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Legal Business Name | AUSTERER HIGGINS PHYSICAL THERAPY AND WELLNESS
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 512 WARREN AVE SUITE 4
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City | PORTLAND
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State | ME
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Zip | 04103-1006
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Country | US
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Telephone | 207-878-5002
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Fax | 207-878-5007
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Provider Business Mailing Address
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Address Line | 11 MAIN ST STE 7 PMB 252
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City | WESTBROOK
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State | ME
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Zip | 04092-4786
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Country | US
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Telephone | 207-878-5002
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Fax | 207-878-5007
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA AUSTERER-BLANTON
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Credential | DPT
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Telephone | 207-878-5002
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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 |
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License Number State |
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