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General NPI Number Information
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NPI Number | 1104250158
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Entity Type | Organization
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Legal Business Name | BE WELL MY FRIEND LLC
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 12 SHUMAN AVE STE 6
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City | AUGUSTA
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State | ME
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Zip | 04330-6020
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Country | US
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Telephone | 207-307-0958
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Fax | 207-512-5909
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Provider Business Mailing Address
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Address Line | 12 SHUMAN AVE STE 6
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City | AUGUSTA
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State | ME
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Zip | 04330-6020
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Country | US
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Telephone | 207-307-0958
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Fax | 207-512-5909
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL D DUFRESNE
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Credential | DO
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Telephone | 207-307-0958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2105
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License Number State | ME
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