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General NPI Number Information
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NPI Number | 1861708703
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Entity Type | Individual
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Provider Name | KRISTIN MICHELLE DEAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 35 CANAL ST STE 401
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City | LEWISTON
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State | ME
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Zip | 04240-7773
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Country | US
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Telephone | 415-504-3838
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Fax | 415-504-1367
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Provider Business Mailing Address
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Address Line | 1 CALIFORNIA ST STE 2300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-5424
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Country | US
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Telephone | 800-997-6196
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA09598600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 52025
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D78517
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37546
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101257326
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 073191
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2014-02120
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD453288
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 277355
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26122
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License Number State | WV
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47744
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License Number State | KY
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME121654
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License Number State | FL
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301106409
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License Number State | MI
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD14776
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License Number State | RI
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A118149
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License Number State | CA
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