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General NPI Number Information
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NPI Number | 1770698227
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Entity Type | Individual
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Provider Name | EUGENIA KOLKAS MD
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 50 UNION ST SUITE 3200
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City | ELLSWORTH
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State | ME
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Zip | 04605-1534
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Country | US
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Telephone | 207-664-5650
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Fax | 207-664-5651
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Provider Business Mailing Address
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Address Line | 95 BAY RD
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City | LAMOINE
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State | ME
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Zip | 04605-4731
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Country | US
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Telephone | 843-425-0052
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 18734
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD20419
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License Number State | ME
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