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General NPI Number Information
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NPI Number | 1063437291
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Entity Type | Organization
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Legal Business Name | TOWN OF SEARSPORT
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 3 UNION ST
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City | SEARSPORT
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State | ME
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Zip | 04974-3344
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Country | US
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Telephone | 207-548-6372
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 499
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City | SEARSPORT
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State | ME
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Zip | 04974-0499
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Country | US
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Telephone | 207-548-2302
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Fax |
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Authorized Official
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Title or Position | TOWN MANAGER
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Name | JAMES STUART GILLWAY
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Credential |
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Telephone | 207-548-6372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 620
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License Number State | ME
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