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General NPI Number Information
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NPI Number | 1437516911
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Entity Type | Individual
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Provider Name | ANN CUSHING LADC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 212 GLENN HARRIS RD
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City | NEW SHARON
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State | ME
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Zip | 04955-3214
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Country | US
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Telephone | 207-778-1854
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Fax |
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Provider Business Mailing Address
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Address Line | 131 FRANKLIN HEALTH CMNS
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City | FARMINGTON
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State | ME
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Zip | 04938-6142
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Country | US
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Telephone | 207-779-2851
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Fax | 207-779-2143
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LC6588
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License Number State | ME
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