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General NPI Number Information
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NPI Number | 1821472176
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Entity Type | Individual
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Provider Name | MEREDITH ANN INOSENCIO LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 44 CURTIS ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-3512
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Country | US
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Telephone | 898-545-3889
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Fax |
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Provider Business Mailing Address
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Address Line | 44 CURTIS ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-3512
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Country | US
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Telephone | 989-854-5388
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MC14232
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License Number State | ME
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