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General NPI Number Information
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NPI Number | 1578599775
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Entity Type | Organization
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Legal Business Name | RUMFORD COMMUNITY FAMILY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 430 FRANKLIN ST
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City | RUMFORD
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State | ME
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Zip | 04276-2104
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Country | US
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Telephone | 207-369-0146
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Fax | 207-364-8626
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Provider Business Mailing Address
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Address Line | 430 FRANKLIN ST
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City | RUMFORD
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State | ME
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Zip | 04276-2104
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Country | US
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Telephone | 207-369-0146
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Fax | 207-364-8626
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Authorized Official
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Title or Position | DIVISION CHIEF
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Name | DR. JOHN KROGER
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Credential | MD
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Telephone | 207-369-0146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 203989
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License Number State | ME
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