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General NPI Number Information
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NPI Number | 1093342875
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Entity Type | Individual
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Provider Name | ELEANOR STEDMAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 417 STATE ST STE 200
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City | BANGOR
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State | ME
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Zip | 04401-6630
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Country | US
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Telephone | 207-973-4377
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Fax |
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Provider Business Mailing Address
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Address Line | 417 STATE ST STE 200
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City | BANGOR
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State | ME
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Zip | 04401-6630
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Country | US
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Telephone | 301-379-0614
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD29469
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License Number State | ME
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