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NPI 1972464683

NPI 1972464683 : ALLISON LOUISE EASLER : LEEDS, ME

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General NPI Number Information
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    NPI Number           |    1972464683
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    Entity Type          |    Individual 
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    Provider Name        |    ALLISON LOUISE EASLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2025
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    1185 ME-106 
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    City                 |    LEEDS
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    State                |    ME
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    Zip                  |    04263
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    Country              |    US
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    Telephone            |    207-524-5151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 PINE GROVE RD 
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    City                 |    GREENE
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    State                |    ME
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    Zip                  |    04236-3055
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    Country              |    US
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    Telephone            |    207-795-0419
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    XL8450
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    License Number State |    ME
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