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General NPI Number Information
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NPI Number | 1003376252
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Entity Type | Individual
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Provider Name | ROBERT CHARLES KING MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 2 PORTLAND SQ STE 201
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City | PORTLAND
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State | ME
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Zip | 04101-4088
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Country | US
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Telephone | 207-607-4022
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Fax | 207-613-5048
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Provider Business Mailing Address
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Address Line | 14 MAINE ST STE 309
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City | BRUNSWICK
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State | ME
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Zip | 04011-2033
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Country | US
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Telephone | 207-607-4022
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Fax | 207-613-5048
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD26533
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License Number State | ME
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