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General NPI Number Information
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NPI Number | 1063677722
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Entity Type | Organization
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Legal Business Name | CHOICES
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 263 MAIN STREET SUITE 1 VILLAGE DRIVE ESTATES
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City | CORINTH
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State | ME
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Zip | 04427-0316
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Country | US
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Telephone | 207-285-0133
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Fax | 207-285-0190
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Provider Business Mailing Address
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Address Line | PO BOX 316
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City | CORINTH
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State | ME
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Zip | 04427-0316
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Country | US
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Telephone | 207-285-0133
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Fax | 207-285-0190
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | MR. LONNIE SCOTT PLANTE
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Credential |
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Telephone | 207-285-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 211962
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License Number State | ME
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