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General NPI Number Information
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NPI Number | 1235845983
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Entity Type | Organization
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Legal Business Name | JANIE J. GENDRON, LCSW, PLLC
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 1 VARRELL LN STE 18
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City | YORK
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State | ME
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Zip | 03909-1058
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Country | US
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Telephone | 207-337-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 427 CIDER HILL RD
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City | YORK
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State | ME
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Zip | 03909-5306
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Country | US
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Telephone | 207-337-1778
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANIE GENDRON
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Credential | LCSW
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Telephone | 207-337-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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