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General NPI Number Information
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NPI Number | 1174788459
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Entity Type | Organization
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Legal Business Name | LCM ENTERPRISES, INC.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 146 KENNEDY DRIVE
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City | WATERVILLE
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State | ME
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Zip | 04901-5133
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Country | US
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Telephone | 207-873-6151
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Fax |
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Provider Business Mailing Address
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Address Line | 146 KENNEDY DRIVE
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City | WATERVILLE
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State | ME
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Zip | 04901-5133
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Country | US
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Telephone | 207-873-6151
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LANCE C MACMASTER
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Credential |
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Telephone | 207-947-5666
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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 |
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License Number State |
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