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General NPI Number Information
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NPI Number | 1780828285
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Entity Type | Organization
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Legal Business Name | WINNIE THE POOH NURSERY SCHOOL
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 56 CENTER ST
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City | BANGOR
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State | ME
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Zip | 04401-5003
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Country | US
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Telephone | 207-947-2579
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Fax |
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Provider Business Mailing Address
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Address Line | 56 CENTER ST
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City | BANGOR
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State | ME
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Zip | 04401-5003
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Country | US
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Telephone | 207-947-2579
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CARRIE B ANDERSON
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Credential |
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Telephone | 207-947-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 2124111
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License Number State | ME
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