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General NPI Number Information
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NPI Number | 1841010139
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Entity Type | Organization
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Legal Business Name | CHICKADEE HEALTHCARE PLLC
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Dates
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Enumeration Date | 10/12/2024
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Last Update Date | 10/12/2024
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Provider Practice Location Address
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Address Line | 169 SOUTH RD STE 2
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City | READFIELD
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State | ME
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Zip | 04355-3340
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Country | US
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Telephone | 207-500-6285
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Fax | 877-497-0102
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Provider Business Mailing Address
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Address Line | 153 S TAYLOR RD
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City | MOUNT VERNON
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State | ME
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Zip | 04352-3354
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Country | US
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Telephone | 207-212-1448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEAH M MAWHINNEY
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Credential | WHNP
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Telephone | 207-212-1448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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