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General NPI Number Information
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NPI Number | 1780615492
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Entity Type | Organization
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Legal Business Name | CITY OF CARIBOU
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 163 VAN BUREN RD
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City | CARIBOU
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State | ME
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Zip | 04736-3567
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Country | US
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Telephone | 207-498-3111
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Fax | 207-496-2631
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Provider Business Mailing Address
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Address Line | 163 VAN BUREN RD
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City | CARIBOU
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State | ME
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Zip | 04736-3567
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Country | US
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Telephone | 207-498-3111
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Fax | 207-496-2631
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MS. KRIS A DOODY
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Credential |
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Telephone | 207-498-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 36719
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License Number State | ME
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