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General NPI Number Information
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NPI Number | 1770078966
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Entity Type | Individual
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Provider Name | STEPHANIE WHITAKER-SEAVEY APRN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 401 PETER DANA POINT ROAD
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City | INDIAN TWP
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State | ME
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Zip | 04668
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Country | US
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Telephone | 207-796-2321
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Fax | 207-796-2195
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | PRINCETON
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State | ME
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Zip | 04668
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Country | US
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Telephone | 207-796-2321
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Fax | 207-796-2195
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN63223
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN63223
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP241792
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License Number State | ME
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