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General NPI Number Information
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NPI Number | 1538484266
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Entity Type | Organization
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Legal Business Name | MAPS
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 100 BRICKHILL AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-1999
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Country | US
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Telephone | 207-619-8312
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Fax | 207-775-2255
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Provider Business Mailing Address
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Address Line | 100 BRICKHILL AVE
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-1999
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Country | US
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Telephone | 207-619-8312
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Fax | 207-775-2255
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Authorized Official
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Title or Position | CFO
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Name | MR. PETER D RAND
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Credential | CPA
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Telephone | 207-619-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 576160
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License Number State | ME
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