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General NPI Number Information
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NPI Number | 1235955790
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Entity Type | Individual
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Provider Name | SCOTT WHITNEY
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Gender | Male
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 91 AUBURN ST STE J
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City | PORTLAND
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State | ME
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Zip | 04103-6014
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Country | US
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Telephone | 207-518-8869
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Fax |
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Provider Business Mailing Address
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Address Line | 33 COUNTY WAY
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City | HOLDEN
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State | ME
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Zip | 04429
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Country | US
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Telephone | 207-316-3481
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP241795
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License Number State | ME
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