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General NPI Number Information
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NPI Number | 1679774095
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Entity Type | Organization
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Legal Business Name | DONALD G. BRUSHETT, M.D. AND JANET M. PARKER, M.D. P.A.
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 59 BANGOR ST SUITE 3
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City | HOULTON
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State | ME
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Zip | 04730-1740
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Country | US
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Telephone | 207-532-7161
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Fax | 207-532-1090
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Provider Business Mailing Address
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Address Line | 59 BANGOR ST SUITE 3
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City | HOULTON
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State | ME
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Zip | 04730-1740
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Country | US
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Telephone | 207-532-7161
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Fax | 207-532-1090
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CAROLYN M CHAPMAN
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Credential |
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Telephone | 207-532-7161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 009207
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License Number State | ME
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