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General NPI Number Information
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NPI Number | 1063136786
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Entity Type | Organization
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Legal Business Name | CENTRAL MAINE MEDICAL CENTER
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 685 SABATTUS ST
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City | LEWISTON
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State | ME
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Zip | 04240-3831
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Country | US
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Telephone | 207-795-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 29 LOWELL ST STE 3
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City | LEWISTON
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State | ME
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Zip | 04240-7600
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Country | US
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Telephone | 603-795-2154
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | KRISTEN R ST PETER
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Credential |
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Telephone | 207-795-7124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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