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NPI 1790716959

NPI 1790716959 : ANDREW C CURTIN PA : YARMOUTH, ME

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General NPI Number Information
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    NPI Number           |    1790716959
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDREW C CURTIN PA 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    251 MAIN ST 
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    City                 |    YARMOUTH
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    State                |    ME
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    Zip                  |    04096
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    Country              |    US
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    Telephone            |    207-846-6162
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    Fax                  |    207-846-6162
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Provider Business Mailing Address
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    Address Line         |    PO BOX 200 251 MAIN ST
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    City                 |    YARMOUTH
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    State                |    ME
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    Zip                  |    04096
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    Country              |    US
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    Telephone            |    207-846-6162
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    Fax                  |    207-846-6162
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ANDREW CRAIGE CURTIN 
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    Credential           |    LCSW
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    Telephone            |    207-846-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    LC1242
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    License Number State |    ME
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