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General NPI Number Information
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NPI Number | 1700668290
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Entity Type | Organization
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Legal Business Name | DR JAMES KUPER LLC
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Dates
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Enumeration Date | 10/18/2023
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 68 BISHOP ST
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City | PORTLAND
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State | ME
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Zip | 04103-2681
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Country | US
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Telephone | 207-370-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 127 HIGHLAND AVE
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8662
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Country | US
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Telephone | 734-417-1843
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/SOLE PROPRIETOR
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Name | DR. JAMES KUPER
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Credential | PSYD
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Telephone | 207-370-7317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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