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General NPI Number Information
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NPI Number | 1043126824
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Entity Type | Individual
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Provider Name | SYDNEY MARIE WOLF KEENE
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 4 SCAMMON ST STE 51
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City | SACO
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State | ME
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Zip | 04072-5122
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Country | US
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Telephone | 207-828-3327
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Fax |
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Provider Business Mailing Address
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Address Line | 49 WEST RD
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City | WATERBORO
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State | ME
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Zip | 04087-3202
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Country | US
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Telephone | 716-263-3670
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC26217
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License Number State | ME
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