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General NPI Number Information
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NPI Number | 1720419310
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Entity Type | Organization
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Legal Business Name | COUGHS-N-SNIFFLES CLINIC
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Dates
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Enumeration Date | 12/06/2013
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 4 MARKET SQ SUITE 1
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City | SOUTH PARIS
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State | ME
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Zip | 04281-1563
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Country | US
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Telephone | 207-739-2873
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Fax | 207-739-2874
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Provider Business Mailing Address
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Address Line | PO BOX 534
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City | NORWAY
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State | ME
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Zip | 04268-0534
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Country | US
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Telephone | 207-739-2873
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Fax | 207-739-2874
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | KRISTIE L KNAPP
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Credential | CNP
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Telephone | 207-739-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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