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General NPI Number Information
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NPI Number | 1134033772
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Entity Type | Organization
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Legal Business Name | MID-COAST HEALTH NET INC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 22 WHITE ST
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City | ROCKLAND
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State | ME
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Zip | 04841-2978
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Country | US
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Telephone | 207-680-4545
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Fax | 207-680-4544
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Provider Business Mailing Address
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Address Line | 22 WHITE ST
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City | ROCKLAND
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State | ME
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Zip | 04841-2978
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Country | US
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Telephone | 207-680-4545
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Fax | 207-680-4544
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Authorized Official
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Title or Position | OPERATIONS DIRECTOR
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Name | NICOLLE BAADE
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Credential | MHA
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Telephone | 207-680-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | NULL
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