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General NPI Number Information
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NPI Number | 1811541709
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Entity Type | Individual
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Provider Name | CHRISTIAN IAN MACFEE PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 12 UNION ST
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City | ROCKLAND
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State | ME
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Zip | 04841-2739
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Country | US
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Telephone | 207-701-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MOLYNEAUX RD
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City | CAMDEN
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State | ME
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Zip | 04843-4418
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Country | US
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Telephone | 207-975-3423
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Fax |
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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 | CNP191168
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License Number State | ME
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