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General NPI Number Information
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NPI Number | 1366487258
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Entity Type | Individual
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Provider Name | LISA A. STARKWEATHER FNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 51 HIGH ST
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City | DEXTER
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State | ME
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Zip | 04930-1311
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Country | US
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Telephone | 207-924-7349
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Fax | 207-924-5343
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Provider Business Mailing Address
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Address Line | 51 HIGH ST
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City | DEXTER
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State | ME
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Zip | 04930-1311
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Country | US
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Telephone | 207-924-7349
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Fax | 207-924-5343
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R036742
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License Number State | ME
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