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NPI 1508038639

NPI 1508038639 : SUNEE RANAE LOVELY M.D. : PRINCETON, ME

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General NPI Number Information
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    NPI Number           |    1508038639
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    Entity Type          |    Individual 
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    Provider Name        |    SUNEE RANAE LOVELY M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2008
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    Last Update Date     |    09/28/2020
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Provider Practice Location Address
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    Address Line         |    401 PETER DANA POINT ROAD 
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    City                 |    PRINCETON
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    State                |    ME
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    Zip                  |    87571
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    Country              |    US
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    Telephone            |    207-796-2321
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    Fax                  |    207-796-2422
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Provider Business Mailing Address
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    Address Line         |    PO BOX 97 
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    City                 |    PRINCETON
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    State                |    ME
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    Zip                  |    04668-0097
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    Country              |    US
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    Telephone            |    207-796-2321
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    Fax                  |    207-796-2422
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    8228
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    License Number State |    SD
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