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General NPI Number Information
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NPI Number | 1265268429
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Entity Type | Organization
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Legal Business Name | TEMPLE STREAM PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 116 NARROW GAUGE SQ STE 101
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City | FARMINGTON
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State | ME
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Zip | 04938-5880
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Country | US
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Telephone | 207-578-6219
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Fax | 207-250-2386
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Provider Business Mailing Address
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Address Line | 126 PERHAM ST
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City | FARMINGTON
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State | ME
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Zip | 04938-1524
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Country | US
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Telephone | 207-578-6219
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Fax | 207-250-2386
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Authorized Official
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Title or Position | OWNER
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Name | LAYLA BILLINGS
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Credential | PMHNP
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Telephone | 207-578-6219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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