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General NPI Number Information
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NPI Number | 1487366191
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE OF HOPE,LLC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 120 STATE ST STE 6-6
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City | BANGOR
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State | ME
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Zip | 04401-5355
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Country | US
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Telephone | 207-517-2043
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Fax | 207-489-1960
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Provider Business Mailing Address
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Address Line | 10 RANDOLPH DR
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City | BANGOR
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State | ME
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Zip | 04401-2828
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Country | US
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Telephone | 207-991-8703
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Fax |
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Authorized Official
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Title or Position | OWNER, CNO
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Name | STACY M GUAY
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Credential | PMHNP, BC
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Telephone | 207-991-8703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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