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General NPI Number Information
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NPI Number | 1275591117
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Entity Type | Organization
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Legal Business Name | FAIRFIELD FAMILY PRACTICE
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 MAIN ST
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City | FAIRFIELD
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State | ME
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Zip | 04937-1528
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Country | US
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Telephone | 207-453-9211
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Fax | 207-453-6635
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Provider Business Mailing Address
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Address Line | 121 MAIN ST
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City | FAIRFIELD
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State | ME
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Zip | 04937-1528
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Country | US
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Telephone | 207-453-9211
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Fax | 207-453-6635
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHARON BAJPAI
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Credential |
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Telephone | 207-453-9211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 953
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License Number State | ME
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