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General NPI Number Information
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NPI Number | 1053879254
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Entity Type | Individual
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Provider Name | SHEILA MARIE TWITCHELL
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 331 PINE STREET
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City | LEWISTON
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State | ME
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Zip | 04240
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Country | US
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Telephone | 207-344-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E HEBRON RD
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City | TURNER
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State | ME
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Zip | 04282
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Country | US
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Telephone | 207-402-0231
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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 | LC16328
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License Number State | ME
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