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General NPI Number Information
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NPI Number | 1487368627
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Entity Type | Individual
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Provider Name | EKATRINA JAYNES LCSW, MBA
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 7 PICKEREL LANE
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City | BELGRADE
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State | ME
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Zip | 04917
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Country | US
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Telephone | 207-314-1105
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Fax | 207-660-4529
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | BELGRADE
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State | ME
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Zip | 04917-0104
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Country | US
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Telephone | 207-314-1105
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Fax |
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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 | LC12282
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License Number State | ME
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