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General NPI Number Information
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NPI Number | 1497977045
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Entity Type | Individual
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Provider Name | STAVRO NASHI C.P.N.P.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 9 HEALTHCARE DR SUITE 208
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City | BIDDEFORD
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State | ME
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Zip | 04005-9449
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Country | US
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Telephone | 207-282-7531
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Fax | 207-286-3787
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-282-9080
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Fax | 207-282-9180
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP81683
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R043273
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | CNP81683
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License Number State | ME
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