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NPI 1922192871

NPI 1922192871 : MARY SLOAN N.P. : NORTH BERWICK, ME

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General NPI Number Information
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    NPI Number           |    1922192871
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    Entity Type          |    Individual 
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    Provider Name        |    MARY SLOAN N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    10/30/2012
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Provider Practice Location Address
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    Address Line         |    23 WELLS ST. 
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    City                 |    NORTH BERWICK
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    State                |    ME
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    Zip                  |    03906-5533
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    Country              |    US
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    Telephone            |    207-676-1280
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    Fax                  |    207-676-1284
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Provider Business Mailing Address
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    Address Line         |    15 HOSPITAL DR YORK HOSPITAL
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    City                 |    YORK
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    State                |    ME
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    Zip                  |    03909-1011
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    Country              |    US
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    Telephone            |    207-641-8110
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    Fax                  |    207-641-8149
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    R032080
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    License Number State |    ME
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