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General NPI Number Information
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NPI Number | 1346556644
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Entity Type | Organization
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Legal Business Name | DON ACORN SUBSTANCE ABUSE AND MENTAL HEALTH
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 32 COLLEGE AVE SUITE 206
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City | WATERVILLE
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State | ME
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Zip | 04901-6100
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Country | US
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Telephone | 207-578-1771
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 72 406 KIMBALL POND ROAD
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City | VIENNA
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State | ME
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Zip | 04360-0072
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Country | US
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Telephone | 207-578-1771
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DON ACORN
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Credential | LCSW LADC CCS
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Telephone | 207-578-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LC2309
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CCS3211
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LC 7773
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License Number State | ME
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