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General NPI Number Information
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NPI Number | 1710869409
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Entity Type | Organization
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Legal Business Name | MAINE EMERGENCY DENTIST
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 23 WATER ST
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City | SACO
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State | ME
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Zip | 04072-5119
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Country | US
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Telephone | 207-408-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WATER ST
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City | SACO
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State | ME
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Zip | 04072-5119
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Country | US
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Telephone | 207-910-2646
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. GRACE HARRIMAN
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Credential | DDS
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Telephone | 917-407-8034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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