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General NPI Number Information
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NPI Number | 1740593805
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Entity Type | Individual
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Provider Name | ELIZABETH A FAULKNER LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 98 CUMBERLAND RD
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-6317
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Country | US
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Telephone | 207-838-5138
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Fax |
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Provider Business Mailing Address
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Address Line | 899 RIVERSIDE ST
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City | PORTLAND
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State | ME
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Zip | 04103-1070
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Country | US
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Telephone | 207-871-1200
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Fax | 207-871-1232
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LM12215
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License Number State | ME
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