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General NPI Number Information
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NPI Number | 1295269686
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Entity Type | Individual
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Provider Name | JESSIE NICOLE BURKHARTZMEYER HUFF DO
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Gender | Female
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 887 CONGRESS ST. STE 200
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City | PORTLAND
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State | ME
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Zip | 04102
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Country | US
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Telephone | 207-771-5549
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Fax | 207-771-7834
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Provider Business Mailing Address
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Address Line | 887 CONGRESS ST. STE 200
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City | PORTLAND
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State | ME
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Zip | 04102
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Country | US
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Telephone | 207-771-5549
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Fax | 207-771-7834
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS021447
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DO3778
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License Number State | ME
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