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General NPI Number Information
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NPI Number | 1972132843
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Entity Type | Organization
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Legal Business Name | ACADIA DERMATOLOGY LLC
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 150 HIGH ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-1761
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Country | US
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Telephone | 207-222-3112
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Fax |
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Provider Business Mailing Address
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Address Line | 150 HIGH ST STE 2
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City | ELLSWORTH
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State | ME
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Zip | 04605-1762
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DO
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Name | MICHAEL NOPARSTAK
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Credential |
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Telephone | 207-222-3112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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