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General NPI Number Information
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NPI Number | 1598780447
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Entity Type | Organization
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Legal Business Name | MAINE MEDICAL PARTNERS
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 155 SPURWINK AVE
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-9604
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Country | US
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Telephone | 207-767-2174
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Fax | 207-767-1384
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Provider Business Mailing Address
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Address Line | 300 SOUTBOROUGH DRIVE SUITE 201
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106
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Country | US
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Telephone | 207-661-2000
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Fax | 207-661-2033
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN J KASABIAN
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Credential |
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Telephone | 207-661-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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