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General NPI Number Information
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NPI Number | 1306750344
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Entity Type | Individual
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Provider Name | LYNN DWELLEY
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | PO BOX 425
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City | BANGOR
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State | ME
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Zip | 04402-0425
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Country | US
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Telephone | 207-922-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 567 OLD TOWN RD
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City | HUDSON
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State | ME
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Zip | 04449-3212
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | XL9068
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License Number State | ME
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