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General NPI Number Information
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NPI Number | 1760602452
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Entity Type | Organization
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Legal Business Name | ELIZABETH B. PIERCE, DO, PA
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/08/2014
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Provider Practice Location Address
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Address Line | 10 FOREST FALLS DR STOP 11
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City | YARMOUTH
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State | ME
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Zip | 04096-4900
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Country | US
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Telephone | 207-847-9200
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Fax | 207-847-9315
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Provider Business Mailing Address
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Address Line | 10 FOREST FALLS DR STOP 11
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City | YARMOUTH
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State | ME
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Zip | 04096-4900
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Country | US
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Telephone | 207-847-9200
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Fax | 207-847-9315
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH B. PIERCE
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Credential | DO
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Telephone | 207-847-9200
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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 | 1563
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License Number State | ME
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