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General NPI Number Information
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NPI Number | 1831368042
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Entity Type | Organization
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Legal Business Name | CENTRAL AROOSTOOK PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 521 MAIN ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2341
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Country | US
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Telephone | 207-764-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 521 MAIN ST STE A
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2341
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Country | US
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Telephone | 207-760-7024
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | CAROL S GUERRETTE
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Credential |
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Telephone | 207-760-7024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 016605
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License Number State | ME
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