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General NPI Number Information
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NPI Number | 1730135039
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Entity Type | Individual
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Provider Name | LOIS CATHERINE HAMEL CORSON ANP, PHD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 10 WATER ST STE 305
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City | WATERVILLE
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State | ME
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Zip | 04901-6566
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Country | US
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Telephone | 207-660-9905
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Fax |
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Provider Business Mailing Address
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Address Line | 964 MAIN ST
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City | WILTON
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State | ME
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Zip | 04294-3600
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Country | US
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Telephone | 207-891-9547
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | CNP81088
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R030965
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License Number State | ME
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