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General NPI Number Information
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NPI Number | 1962366369
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Entity Type | Individual
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Provider Name | CALEN MATTHEW WILLIAMS CADC
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Gender | Male
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1 DELTA DR
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City | WESTBROOK
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State | ME
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Zip | 04092-4745
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Country | US
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Telephone | 207-856-7227
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Fax | 207-856-2112
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Provider Business Mailing Address
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Address Line | 1 DELTA DR
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City | WESTBROOK
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State | ME
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Zip | 04092-4745
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Country | US
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Telephone | 207-856-7227
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Fax | 207-856-2112
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAC8692
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License Number State | ME
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