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General NPI Number Information
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NPI Number | 1679449664
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Entity Type | Organization
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Legal Business Name | MAINE ZEN DEN ACUPUNCTURE & WELLNESS
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 383 US ROUTE 1 STE 2B
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9843
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Country | US
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Telephone | 207-515-2601
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Fax | 207-910-5090
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Provider Business Mailing Address
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Address Line | 383 US ROUTE 1 STE 2B
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9843
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Country | US
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Telephone | 207-515-2601
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Fax | 207-910-5090
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Authorized Official
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Title or Position | MANAGER
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Name | DONALD CHARLSON
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Credential | RN, L. AC.
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Telephone | 207-515-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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