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General NPI Number Information
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NPI Number | 1033874458
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Entity Type | Organization
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Legal Business Name | CENTRAL MAINE MEDICAL CENTER
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 10 HIGH STREET SUITE 104
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City | LEWISTON
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State | ME
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Zip | 04240-7640
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Country | US
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Telephone | 207-786-1800
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Fax | 207-755-5864
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Provider Business Mailing Address
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Address Line | 300 MAIN STREET CMMC SPECIALTY
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City | LEWISTON
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State | ME
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Zip | 04240-7640
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Country | US
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Telephone | 207-786-1800
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Fax | 207-755-5864
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Authorized Official
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Title or Position | CEO
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Name | STEVEN G LITTLESON
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Credential |
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Telephone | 207-795-2947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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