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General NPI Number Information
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NPI Number | 1790844702
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Entity Type | Organization
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Legal Business Name | ANN M. BABBITT, MD
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 201 BRADLEY ST
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City | PORTLAND
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State | ME
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Zip | 04102-2233
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Country | US
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Telephone | 207-233-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BRADLEY ST
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City | PORTLAND
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State | ME
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Zip | 04102-2233
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Country | US
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Telephone | 207-233-4266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANN M BABBITT
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Credential | MD
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Telephone | 207-233-4266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 193400000X
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License Number State | ME
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