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General NPI Number Information
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NPI Number | 1255314621
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Entity Type | Individual
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Provider Name | ANTHONY TAIWAI NG MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 268 STILLWATER AVENUE ACADIA HOSPITAL CORP.
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City | BANGOR
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State | ME
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Zip | 04401
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Country | US
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Telephone | 207-973-6100
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Fax | 207-973-6109
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Provider Business Mailing Address
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Address Line | P.O. BOX 422 ACADIA HOSPITAL CORP.
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City | BANGOR
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State | ME
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Zip | 04402-0422
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Country | US
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Telephone | 207-973-6100
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Fax | 207-973-6109
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 018382
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0065397
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 64322
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License Number State | CT
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