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General NPI Number Information
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NPI Number | 1023198041
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Entity Type | Organization
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Legal Business Name | MAINE HEART CENTER
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 CHADWICK ST
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City | PORTLAND
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State | ME
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Zip | 04102-3214
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Country | US
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Telephone | 207-756-6025
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Fax | 207-756-6029
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Provider Business Mailing Address
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Address Line | 131 CHADWICK ST
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City | PORTLAND
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State | ME
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Zip | 04102-3214
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Country | US
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Telephone | 207-756-6025
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Fax | 207-756-6029
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. PATRICK DENNING
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Credential |
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Telephone | 207-756-6025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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