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General NPI Number Information
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NPI Number | 1508785098
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Entity Type | Organization
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Legal Business Name | BLUE ASTER LLC
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 30 BURLEIGH ST
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City | WATERVILLE
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State | ME
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Zip | 04901
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Country | US
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Telephone | 207-200-4967
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Fax |
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Provider Business Mailing Address
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Address Line | 325 MAIN ST # 353
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City | WATERVILLE
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State | ME
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Zip | 04901-4922
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Country | US
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Telephone | 207-200-4967
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Fax |
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Authorized Official
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Title or Position | MANAGING CLINICIAN
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Name | DARBY BEAULIEU
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Credential | LCSW, CCS
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Telephone | 207-200-4967
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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