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General NPI Number Information
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NPI Number | 1003061201
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Entity Type | Individual
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Provider Name | VALERIE ANNE FELDKAMP CADC, LSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 06/09/2021
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Provider Practice Location Address
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Address Line | 710 BUCKSPORT RD
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City | ELLSWORTH
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State | ME
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Zip | 04605-2722
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Country | US
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Telephone | 207-667-6890
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | ELLSWORTH
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State | ME
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Zip | 04605-0297
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Country | US
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Telephone | 207-667-6890
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSX10764
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CAC7551
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License Number State | ME
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