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General NPI Number Information
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NPI Number | 1740340132
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Entity Type | Organization
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Legal Business Name | WOODFORDS FAMILY SERVICES
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 15 SAUNDERS WAY STE 700
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City | WESTBROOK
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State | ME
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Zip | 04092-4834
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Country | US
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Telephone | 207-878-9663
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Fax | 207-878-9663
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Provider Business Mailing Address
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Address Line | 15 SAUNDERS WAY STE 900
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City | WESTBROOK
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State | ME
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Zip | 04092-4836
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Country | US
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Telephone | 207-878-9663
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Fax | 207-878-2259
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | JUDITH THIBODEAU
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Credential |
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Telephone | 207-878-9663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 494640
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License Number State | ME
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