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General NPI Number Information
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NPI Number | 1639432412
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Entity Type | Individual
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Provider Name | KATHRYN NICOLE LAPLANTE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 925 UNION ST STE 3
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City | BANGOR
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State | ME
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Zip | 04401-3051
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Country | US
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Telephone | 207-973-9980
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Fax | 207-973-7515
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Provider Business Mailing Address
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Address Line | 43 WHITING HILL RD SUITE 300
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City | BREWER
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State | ME
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Zip | 04412-1005
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Country | US
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Telephone |
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA1346
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License Number State | ME
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