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General NPI Number Information
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NPI Number | 1205896107
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Entity Type | Organization
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Legal Business Name | MAINE CENTER FOR CANCER MEDICINE & BLOOD DISORDERS, P.A.
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 11 ROCK ROW STE 120
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City | WESTBROOK
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State | ME
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Zip | 04092-4877
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Country | US
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Telephone | 207-303-3000
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Fax | 207-250-2139
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Provider Business Mailing Address
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Address Line | PO BOX 911
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City | BRATTLEBORO
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State | VT
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Zip | 05302-0911
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Country | US
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Telephone | 207-303-3200
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Fax | 207-250-2140
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHIARA BATTELLI
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Credential | MD
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Telephone | 207-303-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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