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General NPI Number Information
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NPI Number | 1396645172
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Entity Type | Organization
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Legal Business Name | MAINEGENERAL MEDICAL CENTER
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-626-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-626-1000
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT
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Name | HEATHER HUSSEY
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Credential |
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Telephone | 207-873-9841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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