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General NPI Number Information
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NPI Number | 1912069972
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Entity Type | Individual
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Provider Name | ANDREA GABEL-RICHARDS LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 210 MAIN ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-1949
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Country | US
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Telephone | 207-667-8670
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Fax |
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Provider Business Mailing Address
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Address Line | 424 LAMOINE BEACH RD
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City | LAMOINE
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State | ME
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Zip | 04605-4644
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Country | US
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Telephone | 207-667-3132
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 00001082
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License Number State | ME
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