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General NPI Number Information
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NPI Number | 1154538254
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Entity Type | Organization
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Legal Business Name | YORK COUNTY COMMUNITY ACTION CORPORATION
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 6 SPRUCE ST
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City | SANFORD
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State | ME
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Zip | 04073-2917
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Country | US
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Telephone | 207-324-5762
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Fax | 207-490-5027
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Provider Business Mailing Address
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Address Line | 6 SPRUCE ST P.O. BOX 72
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City | SANFORD
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State | ME
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Zip | 04073-2917
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Country | US
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Telephone | 207-324-5762
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Fax | 207-490-5026
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Authorized Official
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Title or Position | CFO
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Name | MS. DIANE LAURENDEAU
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Credential |
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Telephone | 207-324-5762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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