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General NPI Number Information
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NPI Number | 1194176040
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Entity Type | Organization
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Legal Business Name | TRUE NORTH ANESTHESIA L.L.C.
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 455 HARLOW ST
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City | BANGOR
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State | ME
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Zip | 04401-4917
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Country | US
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Telephone | 614-553-0964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 986520
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City | BOSTON
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State | MA
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Zip | 02298-6520
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Country | US
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Telephone | 207-784-2554
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Fax | 207-777-5363
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Authorized Official
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Title or Position | CEO
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Name | KATHY MAXWELL
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Credential |
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Telephone | 207-992-4032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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