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General NPI Number Information
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NPI Number | 1033226055
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Entity Type | Individual
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Provider Name | GERALD R. LEBEL N.P.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 195 FORE RIVER PKWY SUITE 300
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City | PORTLAND
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State | ME
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Zip | 04102-2780
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Country | US
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Telephone | 207-553-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 84 CHERRY VALE CIR
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City | AUBURN
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State | ME
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Zip | 04210-8842
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Country | US
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Telephone | 207-713-8644
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 19883
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License Number State | ME
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