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General NPI Number Information
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NPI Number | 1518801364
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Entity Type | Organization
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Legal Business Name | JJL PSYCHIATRIC COLLECTIVE LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 19 MY WAY
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City | WEST BATH
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State | ME
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Zip | 04530-6483
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Country | US
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Telephone | 207-208-0331
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Fax |
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Provider Business Mailing Address
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Address Line | 18 NATICK ST
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City | PEAKS ISLAND
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State | ME
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Zip | 04108-1117
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Country | US
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Telephone | 207-329-7771
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NP
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Name | LORI M NICHOLAS
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Credential | PMHNP
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Telephone | 207-329-7771
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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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