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General NPI Number Information
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NPI Number | 1033915921
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Entity Type | Individual
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Provider Name | NAF RICHIE
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Gender | Male
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 6 STATE ST STE 513
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City | BANGOR
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State | ME
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Zip | 04401-5163
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Country | US
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Telephone | 207-378-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 6 STATE ST STE 513
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City | BANGOR
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State | ME
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Zip | 04401-5163
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN77978
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP241821
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License Number State | ME
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