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General NPI Number Information
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NPI Number | 1225870744
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Entity Type | Individual
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Provider Name | EVA WRAY GOLDFINGER LMSW-CC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 25 LONG CREEK DR
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2440
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Country | US
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Telephone | 207-535-1880
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MIDDLE ST STE 9
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City | PORTLAND
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State | ME
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Zip | 04101-4869
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Country | US
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Telephone | 617-835-2199
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | MC21144
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License Number State | ME
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