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General NPI Number Information
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NPI Number | 1861648883
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Entity Type | Individual
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Provider Name | JACQUELINE R DEVOE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | 6 N CAROLINA RD SUITE B
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City | LIMESTONE
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State | ME
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Zip | 04750-6145
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Country | US
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Telephone | 207-328-4631
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Fax | 207-328-4640
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Provider Business Mailing Address
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Address Line | PO BOX 40
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City | CARIBOU
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State | ME
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Zip | 04736-0040
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Country | US
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Telephone | 207-498-2359
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Fax | 207-498-3947
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R013185
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License Number State | ME
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