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General NPI Number Information
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NPI Number | 1689020695
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Entity Type | Individual
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Provider Name | ELIZABETH ANN POLLOCK CADC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 12 BEECH ST
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City | CALAIS
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State | ME
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Zip | 04619-1203
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Country | US
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Telephone | 207-454-1300
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Fax | 207-454-1332
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Provider Business Mailing Address
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Address Line | 9 MAIN ST SUITE D PO BOX 175
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City | LINCOLN
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State | ME
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Zip | 04457
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Country | US
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Telephone | 207-521-8911
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Fax | 207-454-1332
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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