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NPI 1407637564

NPI 1407637564 : HANNAH MULLINS TOOTHAKER FNP : CAPE ELIZABETH, ME

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General NPI Number Information
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    NPI Number           |    1407637564
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    Entity Type          |    Individual 
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    Provider Name        |    HANNAH MULLINS TOOTHAKER FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2023
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    155 SPURWINK AVE 
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    City                 |    CAPE ELIZABETH
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    State                |    ME
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    Zip                  |    04107-9604
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    Country              |    US
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    Telephone            |    207-767-2174
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    Fax                  |    207-767-1348
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Provider Business Mailing Address
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    Address Line         |    155 SPURWINK AVE 
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    City                 |    CAPE ELIZABETH
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    State                |    ME
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    Zip                  |    04107-9604
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    Country              |    US
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    Telephone            |    207-767-2174
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    Fax                  |    207-767-1348
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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       |    CNP231557
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    364SE0003X
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    Taxonomy Name        |    Emergency Clinical Nurse Specialist
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    License Number       |    CNP231557
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    License Number State |    ME
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    CNP231557
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    License Number State |    ME
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