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General NPI Number Information
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NPI Number | 1528301892
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Entity Type | Organization
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Legal Business Name | DENNIS P RATNER PHD PA
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 2 ELM STREET
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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 | 207-872-9578
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Fax | 207-872-9578
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Provider Business Mailing Address
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Address Line | 2 ELM STREET
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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 | 207-872-9578
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Fax | 207-872-9578
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS P RATNER
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Credential | PH.D.
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Telephone | 207-872-9578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS412
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License Number State | ME
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