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NPI 1245157536

NPI 1245157536 : CITY OF ELLSWORTH : ELLSWORTH, ME

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General NPI Number Information
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    NPI Number           |    1245157536
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF ELLSWORTH 
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Dates
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    Enumeration Date     |    06/30/2026
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    Last Update Date     |    06/30/2026
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Provider Practice Location Address
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    Address Line         |    24 LEJOK ST 
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    City                 |    ELLSWORTH
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    State                |    ME
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    Zip                  |    04605-4767
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    Country              |    US
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    Telephone            |    207-664-7100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 AVERY LN 
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    City                 |    ELLSWORTH
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    State                |    ME
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    Zip                  |    04605-2531
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SUPERINTENDENT OF SCHOOLS
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    Name                 |     AMY  BOLES 
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    Credential           |    
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    Telephone            |    207-664-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251300000X
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    Taxonomy Name        |    Local Education Agency (LEA)
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    License Number       |    
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    License Number State |    
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