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General NPI Number Information
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NPI Number | 1477660728
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Entity Type | Organization
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Legal Business Name | WEBHANNET INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 277 POST RD
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City | MOODY
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State | ME
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Zip | 04054
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Country | US
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Telephone | 207-646-8386
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Fax | 207-641-2855
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Provider Business Mailing Address
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Address Line | PO BOX 496 277 POST RD
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City | MOODY
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State | ME
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Zip | 04054-0496
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Country | US
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Telephone | 207-646-8386
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Fax | 207-641-2855
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES H GILROY III
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Credential | MD FACP
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Telephone | 207-646-8386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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