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General NPI Number Information
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NPI Number | 1770046393
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Entity Type | Individual
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Provider Name | REBECCA RANCOURT
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 124 SILVER ST
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City | WATERVILLE
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State | ME
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Zip | 04901-5927
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Country | US
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Telephone | 207-872-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 41 LABRADOR LN
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City | FREEPORT
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State | ME
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Zip | 04032-6630
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Country | US
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Telephone | 207-577-1186
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Fax |
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State | ME
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