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General NPI Number Information
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NPI Number | 1033045844
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Entity Type | Individual
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Provider Name | SHELBY KLIMAS LADC, CCS
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Gender | Female
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 28 PORTLAND AVE
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City | OLD ORCHARD BEACH
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State | ME
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Zip | 04064-2212
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Country | US
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Telephone | 207-272-5371
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Fax |
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Provider Business Mailing Address
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Address Line | 56 PARADISE LN
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City | NORTH WATERBORO
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State | ME
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Zip | 04061-4792
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CCS9438
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC9306
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License Number State | ME
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