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General NPI Number Information
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NPI Number | 1124817614
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Entity Type | Organization
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Legal Business Name | FISH RIVER RURAL HEALTH
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 381 MAIN ST
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City | MADAWASKA
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State | ME
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Zip | 04756-1112
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Country | US
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Telephone | 207-728-3979
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CARTER ST
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City | EAGLE LAKE
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State | ME
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Zip | 04739-3060
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Country | US
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Telephone | 207-444-5973
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Fax | 207-444-5520
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Authorized Official
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Title or Position | LEAD PHARMACIST
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Name | JANICE ANN COLLINS
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Credential | RPH
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Telephone | 207-728-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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