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1902832751

NPI Code Detail

MEDICARE: DR. ANDREW POWELL M.D.

MEDICARE: DR. ANDREW POWELL M.D.

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
1	207P00000X	Emergency Medicine Physician	MD427442	PA
2	207P00000X	Emergency Medicine Physician	14432	NH
3	207P00000X	Emergency Medicine Physician	MD17213	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	AA154448	OTHER		HARVARD PILGRIM
5	1902832751	OTHER	NH	ANTHEM BCBS

General Provider Information

NPI Number	:	1902832751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW POWELL M.D.

Provider Business Mailing Address
First Line	:	25 JUNE ST
Second Line	:
City	:	SANFORD
State	:	ME
Zip	:	04073-2621
Country	:	US
Telephone Number	:	207-490-7450
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 JUNE ST
Second Line	:
City	:	SANFORD
State	:	ME
Zip	:	04073-2621
Country	:	US
Telephone Number	:	207-490-7450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	04/13/2013

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Directions to “ DR. ANDREW POWELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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