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NPI 1215518360

NPI 1215518360 : APPLETREE PSYCHIATRY, LLC : ELLSWORTH, ME

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General NPI Number Information
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    NPI Number           |    1215518360
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPLETREE PSYCHIATRY, LLC 
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Dates
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    Enumeration Date     |    04/20/2021
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    Last Update Date     |    04/20/2021
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Provider Practice Location Address
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    Address Line         |    36 DEANE ST 
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    City                 |    ELLSWORTH
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    State                |    ME
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    Zip                  |    04605-2003
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    Country              |    US
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    Telephone            |    207-667-0261
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    Fax                  |    207-667-0849
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Provider Business Mailing Address
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    Address Line         |    36 DEANE ST 
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    City                 |    ELLSWORTH
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    State                |    ME
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    Zip                  |    04605-2003
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    Country              |    US
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    Telephone            |    207-667-0261
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    Fax                  |    207-667-0849
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Authorized Official
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    Title or Position    |    OWNER/PROVIDER
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    Name                 |    DR. BARBARA W REEVE 
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    Credential           |    MD
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    Telephone            |    207-667-0261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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