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General NPI Number Information
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NPI Number | 1164889093
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Entity Type | Organization
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Legal Business Name | EMPOWERS: EMPLOYMENT OPTIONS, LLC
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 111 CHURCH ST SECOND FLOOR
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City | BELFAST
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State | ME
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Zip | 04915-6419
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Country | US
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Telephone | 207-542-3388
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 179
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City | BELFAST
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State | ME
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Zip | 04915-0179
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Country | US
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Telephone | 207-542-3388
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM NEIL WAY
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Credential |
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Telephone | 207-542-3388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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