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General NPI Number Information
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NPI Number | 1407438344
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Entity Type | Individual
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Provider Name | MIKAELA ABIGAIL COBURN-PIERCE MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 4 GLEN COVE DR STE 101
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City | ROCKPORT
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State | ME
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Zip | 04856-4235
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Country | US
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Telephone | 207-301-3090
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Fax | 207-301-5295
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Provider Business Mailing Address
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Address Line | 4 GLEN COVE DR STE 101
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City | ROCKPORT
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State | ME
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Zip | 04856-4235
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Country | US
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Telephone | 207-301-3090
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Fax | 207-301-5295
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD29279
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | MD29279
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License Number State | ME
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