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General NPI Number Information
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NPI Number | 1013955947
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES MAINE
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 307 CONGRESS STREET
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City | PORTLAND
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State | ME
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Zip | 04101-3638
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Country | US
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Telephone | 207-781-8550
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Fax | 207-781-8560
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Provider Business Mailing Address
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Address Line | PO BOX 10660
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City | PORTLAND
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State | ME
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Zip | 04104-6060
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Country | US
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Telephone | 207-781-8550
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Fax | 207-781-8560
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Authorized Official
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Title or Position | CONTRACTER
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Name | LAURIE A SCOTT
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Credential |
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Telephone | 207-781-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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