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General NPI Number Information
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NPI Number | 1043370497
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Entity Type | Organization
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Legal Business Name | A R AMALFITANO, DO
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 94 SILVER ST
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City | WATERVILLE
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State | ME
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Zip | 04901-5924
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Country | US
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Telephone | 207-873-0644
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Fax | 207-873-6749
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Provider Business Mailing Address
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Address Line | PO BOX 298
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City | WATERVILLE
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State | ME
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Zip | 04903-0298
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Country | US
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Telephone | 207-873-0644
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Fax | 207-873-6749
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | ALBERT AMALFITANO
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Credential | DO
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Telephone | 207-873-0644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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