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General NPI Number Information
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NPI Number | 1659505451
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Entity Type | Organization
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Legal Business Name | MAINE CDC PUBLIC HEALTH NURSING
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 286 WATER ST KEY PLZ FL 7 STATE HOUSE STATION # 11
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City | AUGUSTA
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State | ME
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Zip | 04333-0011
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Country | US
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Telephone | 207-287-9025
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Fax | 207-287-5355
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Provider Business Mailing Address
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Address Line | 286 WATER ST KEY PLZ FL 7 STATE HOUSE STATION # 11
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City | AUGUSTA
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State | ME
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Zip | 04333-0011
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Country | US
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Telephone | 207-287-9025
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Fax | 207-287-5355
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Authorized Official
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Title or Position | PUBLIC HEALTH NURSING CONSULTANT
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Name | DWIGHT R LITTLEFIELD
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Credential | RN, MBA
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Telephone | 207-287-9025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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