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General NPI Number Information
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NPI Number | 1740143767
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Entity Type | Organization
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Legal Business Name | WALK IN PEACE
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 41 HUTCHINS DR STE 18
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City | PORTLAND
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State | ME
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Zip | 04102-1931
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Country | US
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Telephone | 207-405-9769
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Fax |
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Provider Business Mailing Address
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Address Line | 41 HUTCHINS DR # 3
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City | PORTLAND
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State | ME
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Zip | 04102-1931
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Country | US
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Telephone | 207-405-9769
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | JACQUES B NGALIEMA
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Credential |
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Telephone | 207-317-7412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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