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General NPI Number Information
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NPI Number | 1740887025
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Entity Type | Organization
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Legal Business Name | DOWN EAST COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 1031 MAIN ST
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City | EAST MACHIAS
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State | ME
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Zip | 04630
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Country | US
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Telephone | 207-255-0434
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Fax | 207-255-0289
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Provider Business Mailing Address
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Address Line | 11 HOSPITAL DR
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City | MACHIAS
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State | ME
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Zip | 04654-3325
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Country | US
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Telephone | 207-255-0434
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN BILLING SUPERVISOR
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Name | BRANDY L WOOD
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Credential |
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Telephone | 207-255-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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