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General NPI Number Information
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NPI Number | 1871574715
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Entity Type | Individual
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Provider Name | CHARLES E FOLEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 287 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-7054
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Country | US
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Telephone | 207-795-6543
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Fax | 207-795-0488
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Provider Business Mailing Address
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Address Line | 287 MAIN ST
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City | LEWISTON
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State | ME
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Zip | 04240-7054
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Country | US
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Telephone | 207-795-6543
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Fax | 207-795-0488
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | TN38369
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | TN 38369
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | TN 38369
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 018741
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License Number State | ME
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