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General NPI Number Information
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NPI Number | 1033214804
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Entity Type | Individual
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Provider Name | CAREN KACHORIS NP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 866 MAIN ST
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City | SANFORD
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State | ME
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Zip | 04073-3530
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Country | US
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Telephone | 207-324-9385
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Fax |
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Provider Business Mailing Address
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Address Line | 51 US ROUTE 1 STE C
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7134
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R040087
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License Number State | ME
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