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General NPI Number Information
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NPI Number | 1427556331
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Entity Type | Individual
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Provider Name | ANDREW A PHINNEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 293 BLUE RD
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City | MONMOUTH
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State | ME
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Zip | 04259-6900
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Country | US
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Telephone | 207-370-9585
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Fax |
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Provider Business Mailing Address
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Address Line | 250 CENTER STREET STE 6 #1018
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City | AUBURN
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State | ME
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Zip | 04210-6152
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Country | US
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Telephone | 207-370-9585
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC18626
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License Number State | ME
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