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General NPI Number Information
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NPI Number | 1447480264
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Entity Type | Individual
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Provider Name | LAUREN A BLANCHETTE PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 61 FAIRVIEW AVE
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City | SKOWHEGAN
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State | ME
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Zip | 04976-1403
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Country | US
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Telephone | 207-858-8121
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Fax | 207-474-3648
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Provider Business Mailing Address
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Address Line | 149 MAIN ST STE 2A
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City | WINTHROP
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State | ME
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Zip | 04364-1486
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Country | US
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Telephone | 207-624-3800
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Fax | 207-624-3845
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA001175
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License Number State | ME
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