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General NPI Number Information
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NPI Number | 1912113150
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Entity Type | Individual
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Provider Name | COLLEEN MONROE LMT, DC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 1000 SHORE RD BLDG 326
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-1916
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Country | US
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Telephone | 207-650-2493
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Fax |
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Provider Business Mailing Address
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Address Line | 38 LONGFELLOW DR
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City | CAPE ELIZABETH
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State | ME
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Zip | 04107-2223
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Country | US
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Telephone | 207-650-2493
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2947
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CR2069
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License Number State | ME
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