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General NPI Number Information
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NPI Number | 1144687054
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Entity Type | Organization
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Legal Business Name | CENTRAL MAINE MEDICAL CENTER
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 593 CENTER ST
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City | AUBURN
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State | ME
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Zip | 04210-6323
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Country | US
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Telephone | 207-782-2004
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Fax | 207-782-2005
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Provider Business Mailing Address
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Address Line | 593 CENTER ST
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City | AUBURN
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State | ME
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Zip | 04210-6323
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Country | US
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Telephone | 207-782-2004
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Fax | 207-782-2005
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | SUSAN MORIN
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Credential |
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Telephone | 207-795-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 38361
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License Number State | ME
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