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General NPI Number Information
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NPI Number | 1457360604
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Entity Type | Individual
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Provider Name | RICKI LYNN SCHECHTER-AVANT LCSW, LADC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 29 AUTUMN VIEW LN
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City | BRUNSWICK
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State | ME
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Zip | 04011-7480
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Country | US
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Telephone | 207-406-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 29 AUTUMN VIEW LN
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City | BRUNSWICK
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State | ME
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Zip | 04011-7480
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Country | US
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Telephone | 207-406-4009
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Fax | 207-865-9185
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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 | LC1174 AND LC179
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License Number State | ME
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