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NPI 1164490645

NPI 1164490645 : MAINE CENTER FOR CANCER MEDICINE : WESTBROOK, ME

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General NPI Number Information
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    NPI Number           |    1164490645
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    Entity Type          |    Organization 
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    Legal Business Name  |    MAINE CENTER FOR CANCER MEDICINE 
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Dates
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    Enumeration Date     |    03/09/2006
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    11 ROCK ROW STE 120 
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    City                 |    WESTBROOK
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    State                |    ME
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    Zip                  |    04092-4877
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    Country              |    US
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    Telephone            |    207-303-3300
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    Fax                  |    207-250-2139
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Provider Business Mailing Address
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    Address Line         |    11 ROCK ROW STE 120 
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    City                 |    WESTBROOK
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    State                |    ME
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    Zip                  |    04092-4877
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    Country              |    US
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    Telephone            |    207-303-3300
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    Fax                  |    207-250-2139
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHIARA  BATTELLI 
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    Credential           |    MD
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    Telephone            |    207-303-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    PR3300
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    PH50000987
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    License Number State |    ME
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