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General NPI Number Information
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NPI Number | 1285089193
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Entity Type | Individual
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Provider Name | SUSAN J. WINSLOW LADC, RN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 3 FUNDY RD SUITE 2
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City | FALMOUTH
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State | ME
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Zip | 04105-1775
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Country | US
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Telephone | 207-749-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 40 SHEPHERD LN
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City | PORTLAND
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State | ME
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Zip | 04103-1673
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Country | US
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Telephone | 207-749-4866
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC4991
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN38403
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License Number State | ME
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