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General NPI Number Information
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NPI Number | 1558798165
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Entity Type | Organization
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Legal Business Name | LINCOLNHEALTH
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 49 HOOPER ST
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City | WISCASSET
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State | ME
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Zip | 04578-4053
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Country | US
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Telephone | 207-882-7911
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Fax | 207-882-6178
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Provider Business Mailing Address
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Address Line | PO BOX 745
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City | NEWCASTLE
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State | ME
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Zip | 04553-0745
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Country | US
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Telephone | 207-563-4146
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Fax | 207-563-4103
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Authorized Official
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Title or Position | CFO
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Name | WAYNE R PRINTY
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Credential |
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Telephone | 207-563-4476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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