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General NPI Number Information
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NPI Number | 1144558875
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Entity Type | Individual
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Provider Name | JAMES CYR LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 7 HATCH DR STE 120
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City | CARIBOU
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State | ME
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Zip | 04736-2160
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Country | US
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Telephone | 207-496-3166
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | BANGOR
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State | ME
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Zip | 04402-0425
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Country | US
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Telephone | 800-924-0366
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Fax | 207-990-0399
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC15390
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License Number State | ME
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