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General NPI Number Information
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NPI Number | 1902168107
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Entity Type | Individual
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Provider Name | ANDREW PARKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 195 FORE RIVER PKWY STE 410
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City | PORTLAND
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State | ME
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Zip | 04102-2788
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Country | US
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Telephone | 207-774-9839
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Fax | 833-438-1785
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Provider Business Mailing Address
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Address Line | 195 FORE RIVER PKWY STE 410
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City | PORTLAND
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State | ME
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Zip | 04102-2788
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Country | US
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Telephone | 207-774-9839
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Fax | 833-438-1785
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD26211
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD26211
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License Number State | ME
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