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General NPI Number Information
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NPI Number | 1306944251
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MAINE AT FARMINGTON
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 251 MAIN ST SCOTT HALL
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City | FARMINGTON
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State | ME
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Zip | 04938-1744
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Country | US
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Telephone | 207-778-7200
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Fax | 207-778-8183
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Provider Business Mailing Address
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Address Line | 111 SOUTH ST STUDENT HEALTH CENTER
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City | FARMINGTON
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State | ME
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Zip | 04938-6823
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Country | US
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Telephone | 207-778-7200
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Fax | 207-778-8183
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | SUSAN E COCHRAN
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Credential | M.D.
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Telephone | 207-778-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 9841
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License Number State | ME
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