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NPI Code Detail

MEDICARE: MR. PAUL IAN ANDERSON LMSW-CC

MEDICARE: MR. PAUL IAN ANDERSON LMSW-CC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social WorkerMC11833ME

General Provider Information

NPI Number : 1043501513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL IAN ANDERSON LMSW-CC
Provider Business Mailing Address
First Line : 744 OAKLAND RD
Second Line :
City : BELGRADE
State : ME
Zip : 04917
Country : US
Telephone Number : 207-465-7985
Fax Number : 207-465-7184
Provider Business Practice Location Address
First Line : 744 OAKLAND RD
Second Line :
City : BELGRADE
State : ME
Zip : 04917-3411
Country : US
Telephone Number : 207-465-7985
Fax Number : 207-465-7184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 05/02/2011

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