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General NPI Number Information
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NPI Number | 1902021447
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Entity Type | Organization
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Legal Business Name | WESTERN MAINE MULTI MEDICAL SPECIALISTS
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 193 MAIN ST SUITE 9
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City | NORWAY
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State | ME
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Zip | 04268-5645
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Country | US
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Telephone | 207-743-8766
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Fax | 207-743-1579
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Provider Business Mailing Address
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Address Line | PO BOX 360279
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City | PITTSBURGH
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State | PA
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Zip | 15251-6279
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Country | US
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Telephone | 207-396-8600
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Fax | 207-396-8632
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Authorized Official
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Title or Position | ASSOCIATE CFO
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Name | LUGENE A INZANA
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Credential |
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Telephone | 207-661-1346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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