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General NPI Number Information
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NPI Number | 1174938641
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Entity Type | Individual
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Provider Name | ELIZABETH JOANNE POUWELS RN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 52 CHRISTIAN RIDGE RD
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City | ELLSWORTH
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State | ME
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Zip | 04605-3210
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Country | US
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Telephone | 207-610-8025
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Fax |
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Provider Business Mailing Address
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Address Line | 415 WATER ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-2116
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Country | US
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Telephone | 207-667-5357
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN59727
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License Number State | ME
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