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General NPI Number Information
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NPI Number | 1639118458
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Entity Type | Individual
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Provider Name | JAMES EDWARD CHLEBOWSKI MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 592 W MAIN ST
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City | WALDOBORO
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State | ME
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Zip | 04572-6030
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Country | US
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Telephone | 207-832-6394
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Fax | 207-832-4392
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Provider Business Mailing Address
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Address Line | 592 W MAIN ST
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City | WALDOBORO
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State | ME
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Zip | 04572-6030
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Country | US
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Telephone | 207-832-6394
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Fax | 207-832-4392
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD047550L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD27083
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License Number State | ME
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