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General NPI Number Information
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NPI Number | 1265084503
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Entity Type | Individual
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Provider Name | ARLENE MARIE WING
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Gender | Female
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 169 SOUTH RD
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City | READFIELD
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State | ME
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Zip | 04355-3340
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Country | US
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Telephone | 207-530-1537
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Fax |
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Provider Business Mailing Address
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Address Line | 64 N CLARY RD
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City | JEFFERSON
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State | ME
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Zip | 04348-4062
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Country | US
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Telephone | 207-549-4282
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 60251
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License Number State | ME
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