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General NPI Number Information
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NPI Number | 1902781180
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Entity Type | Organization
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Legal Business Name | MAINE MOTHER AND COMPANY LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 54 CUMBERLAND ST STE 5
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City | BRUNSWICK
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State | ME
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Zip | 04011-1829
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Country | US
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Telephone | 207-406-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 54 CUMBERLAND ST STE 5
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City | BRUNSWICK
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State | ME
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Zip | 04011-1829
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Country | US
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Telephone | 207-406-4218
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | NICOLE HART
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Credential | IBCLC
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Telephone | 207-542-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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