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General NPI Number Information
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NPI Number | 1699770222
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Entity Type | Individual
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Provider Name | ROSE M FUCHS MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 17 FOUNDERS ST
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City | PATTEN
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State | ME
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Zip | 04765
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Country | US
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Telephone | 207-992-9102
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Fax | 207-922-9080
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Provider Business Mailing Address
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Address Line | 17 FOUNDERS ST
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City | PATTEN
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State | ME
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Zip | 04765-3080
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Country | US
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Telephone | 207-992-9102
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Fax | 207-922-9080
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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 | MD20092
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License Number State | ME
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