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General NPI Number Information
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NPI Number | 1164721874
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Entity Type | Individual
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Provider Name | LORRAINE WARE RIOUX ANP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-283-7454
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Fax | 207-283-7476
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Provider Business Mailing Address
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Address Line | PO BOX 10187
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City | ALBANY
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State | NY
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Zip | 12201-5187
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Country | US
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Telephone | 207-777-4111
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Fax | 207-783-6660
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP111010
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License Number State | ME
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