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NPI 1205901584

NPI 1205901584 : RENEE M SARETT MD : SCARBOROUGH, ME

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General NPI Number Information
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    NPI Number           |    1205901584
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    Entity Type          |    Individual 
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    Provider Name        |    RENEE M SARETT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2006
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    Last Update Date     |    08/04/2023
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Provider Practice Location Address
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    Address Line         |    144 US ROUTE 1 STE 2 
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    City                 |    SCARBOROUGH
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    State                |    ME
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    Zip                  |    04074-7219
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    Country              |    US
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    Telephone            |    207-396-7606
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 BRAMHALL ST DEPARTMENT OF PALLIATIVE MEDICINE
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04102-3175
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    Country              |    US
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    Telephone            |    207-661-4000
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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        |    207PH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Emergency Medicine) Physician
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    License Number       |    MD17987
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    EC-06-1088
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    License Number State |    ME
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