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General NPI Number Information
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NPI Number | 1902958978
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Entity Type | Organization
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Legal Business Name | ROSALIND R WALDRON MD
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 15 BAY ST
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City | WINSLOW
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State | ME
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Zip | 04901-7045
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Country | US
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Telephone | 207-872-5139
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Fax | 207-861-5460
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Provider Business Mailing Address
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Address Line | 15 BAY ST
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City | WINSLOW
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State | ME
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Zip | 04901-7045
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Country | US
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Telephone | 207-872-5139
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Fax | 207-861-5460
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | ROSALIND R WALDRON
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Credential | MD
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Telephone | 207-872-5139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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