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General NPI Number Information
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NPI Number | 1235393430
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Entity Type | Organization
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Legal Business Name | WESTERN MAINE OSTEOPATHIC HEALTHCARE
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 225 MAIN ST
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City | FARMINGTON
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State | ME
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Zip | 04938-1910
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Country | US
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Telephone | 207-778-6999
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Fax | 207-778-6980
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Provider Business Mailing Address
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Address Line | 225 MAIN ST
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City | FARMINGTON
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State | ME
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Zip | 04938-1910
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Country | US
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Telephone | 207-778-6999
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Fax | 207-778-6980
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIE A JAMES
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Credential | D.O.
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Telephone | 207-778-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 1746
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License Number State | ME
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