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General NPI Number Information
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NPI Number | 1669657532
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Entity Type | Individual
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Provider Name | LALAINE C LLANTO MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 12/12/2016
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Provider Practice Location 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 | 207-973-6604
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Fax | 207-973-7555
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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 | 207-973-6604
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Fax | 207-973-7555
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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 | 018679
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 018679
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 018679
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License Number State | ME
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