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General NPI Number Information
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NPI Number | 1255526158
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Entity Type | Organization
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Legal Business Name | HEALING CONNECTIONS, PLLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 997 MAIN ST
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City | SANFORD
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State | ME
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Zip | 04073-3512
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Country | US
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Telephone | 207-324-4777
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Fax | 207-324-3655
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Provider Business Mailing Address
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Address Line | 997 MAIN ST
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City | SANFORD
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State | ME
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Zip | 04073-3512
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Country | US
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Telephone | 207-324-4777
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Fax | 207-324-3655
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | LORRIE MAE MARX-ADAMS I
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Credential | L.C.S.W.
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Telephone | 207-324-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | LC7041
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LC7041
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License Number State | ME
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