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General NPI Number Information
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NPI Number | 1629615554
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Entity Type | Individual
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Provider Name | ALLISON PYM WHITTIER SEITZ CNP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2019
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Last Update Date | 04/02/2025
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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 | 207-874-2141
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Fax | 207-874-2164
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Provider Business Mailing Address
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Address Line | 180 PARK AVE
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City | PORTLAND
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State | ME
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Zip | 04102-2957
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Country | US
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Telephone | 207-874-2141
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Fax | 207-761-3738
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP211465
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2337602
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License Number State | MA
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