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General NPI Number Information
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NPI Number | 1790458388
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Entity Type | Organization
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Legal Business Name | VILLAGE FAMILY HEALTH CARE LLC
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 1 BRICKYARD LN STE EE
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City | YORK
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State | ME
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Zip | 03909-1681
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Country | US
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Telephone | 207-305-0965
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BRICKYARD LN STE EE
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City | YORK
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State | ME
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Zip | 03909-1681
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Country | US
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Telephone | 207-305-0965
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KERRI I NEEL
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Credential | FNP
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Telephone | 207-305-0965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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