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NPI Code Detail

MEDICARE: DAWN L. PETERSON

MEDICARE:   DAWN L. PETERSON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720323041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN L. PETERSON
Provider Business Mailing Address
First Line : 382 MAIN ST
Second Line :
City : LIMESTONE
State : ME
Zip : 04750-6607
Country : US
Telephone Number : 207-325-4727
Fax Number : 207-325-4308
Provider Business Practice Location Address
First Line : 382 MAIN ST
Second Line :
City : LIMESTONE
State : ME
Zip : 04750-6607
Country : US
Telephone Number : 207-325-4727
Fax Number : 207-325-4308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 11/28/2012

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Directions to “ DAWN L. PETERSON ” Practice Location

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