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General NPI Number Information
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NPI Number | 1659388213
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Entity Type | Organization
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Legal Business Name | CHARLES A DEAN MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 364 PRITHAM AVE
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City | GREENVILLE
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State | ME
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Zip | 04441-1129
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Country | US
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Telephone | 207-695-5215
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Fax | 207-695-2329
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Provider Business Mailing Address
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Address Line | PO BOX 1129 364 PRITHAM AVENUE
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City | GREENVILLE
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State | ME
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Zip | 04441-1129
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Country | US
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Telephone | 207-695-5200
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Fax | 207-695-2329
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Authorized Official
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Title or Position | PRESIDENT
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Name | RANDALL CLARK
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Credential |
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Telephone | 207-564-4256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 37002
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License Number State | ME
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