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General NPI Number Information
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NPI Number | 1043002066
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Entity Type | Organization
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Legal Business Name | OSTEOPATHIC MEDICINE OF MAINE PLLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 496 FARMINGTON FALLS RD
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City | FARMINGTON
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State | ME
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Zip | 04938-6438
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Country | US
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Telephone | 207-212-1449
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Fax |
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Provider Business Mailing Address
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Address Line | 496 FARMINGTON FALLS RD
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City | FARMINGTON
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State | ME
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Zip | 04938-6438
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Country | US
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Telephone | 207-212-1449
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JENNA MARTINI
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Credential | DO
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Telephone | 207-392-5677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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