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General NPI Number Information
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NPI Number | 1891888657
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Entity Type | Organization
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Legal Business Name | MRH CORP.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 492 MAIN ST
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City | CORINTH
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State | ME
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Zip | 04427-3273
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Country | US
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Telephone | 207-285-3435
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Fax | 207-564-1284
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Provider Business Mailing Address
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Address Line | 897 W MAIN ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-1029
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Country | US
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Telephone | 207-564-4251
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Fax | 207-564-4377
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIE VIENNEAU
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Credential |
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Telephone | 207-564-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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