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General NPI Number Information
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NPI Number | 1801084900
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Entity Type | Individual
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Provider Name | NICHOLAS FARREY NP
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 11 CALDWELL RD
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City | AUGUSTA
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State | ME
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Zip | 04330-5739
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Country | US
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Telephone | 207-873-2136
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Fax | 207-660-4529
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Provider Business Mailing Address
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Address Line | 67 EUSTIS PKWY
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City | WATERVILLE
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State | ME
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Zip | 04901-5173
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Country | US
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Telephone | 207-873-2136
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Fax | 207-660-4529
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP2770
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP241113
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License Number State | ME
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