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General NPI Number Information
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NPI Number | 1336032283
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Entity Type | Organization
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Legal Business Name | INTEGRATED OSTEOPOROSIS CLINIC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 700 MAIN ST STE 3
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City | BANGOR
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State | ME
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Zip | 04401-6800
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Country | US
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Telephone | 207-659-8366
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Fax | 808-999-7636
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Provider Business Mailing Address
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Address Line | 700 MAIN ST STE 3
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City | BANGOR
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State | ME
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Zip | 04401-6800
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Country | US
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Telephone | 207-659-8366
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Fax | 808-999-7636
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELIZABETH MARY DUKE
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Credential | FNP-C
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Telephone | 207-478-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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