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General NPI Number Information
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NPI Number | 1184552945
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES MAINE
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 171 CONGRESS AVE
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City | BATH
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State | ME
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Zip | 04530-1531
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Country | US
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Telephone | 207-443-9721
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Fax | 207-443-9722
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Provider Business Mailing Address
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Address Line | PO BOX 10660
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City | PORTLAND
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State | ME
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Zip | 04104-6060
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Country | US
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Telephone | 207-781-8550
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Fax | 207-781-8560
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | ALYSSA J GILBERTI-PEKINS
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Credential |
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Telephone | 207-239-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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