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General NPI Number Information
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NPI Number | 1912687492
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Entity Type | Individual
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Provider Name | CURRAN J LECOMTE PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 91 CAMPUS AVE
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City | LEWISTON
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State | ME
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Zip | 04240-6030
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Country | US
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Telephone | 207-777-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 587 W AUBURN RD
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City | AUBURN
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State | ME
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Zip | 04210-8506
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Country | US
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Telephone | 207-730-3687
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP231313
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License Number State | ME
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