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General NPI Number Information
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NPI Number | 1477765048
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Entity Type | Organization
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Legal Business Name | RSV #74
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 56 NORTH MAIN ST
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City | NORTH ANSON
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State | ME
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Zip | 04958
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Country | US
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Telephone | 207-635-2727
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Fax | 207-635-3599
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Provider Business Mailing Address
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Address Line | P.O. BOX 219 56 NORTH MAIN STREET
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City | NORTH ANSON
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State | ME
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Zip | 04958
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Country | US
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Telephone | 207-635-2727
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Fax | 207-635-3599
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Authorized Official
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Title or Position | SUPERINTENDANT
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Name | MR. MARK L CAMBELL JR.
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Credential |
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Telephone | 207-635-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 251300000X
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License Number State | ME
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