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21 School House Rd Ste 14, Orland, ME 04472-3966 | |
(207) 752-2341 | |
(207) 702-9224 |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 21 School House Rd Ste 14, Orland, Maine |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265885529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Marybeth Judy |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1790901197 PECOS PAC ID: 0749576965 Enrollment ID: I20160914000934 |
Mailing Address | Practice Location Address |
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21 School House Rd Ste 14, Orland, ME 04472-3966 Ph: (297) 752-2341 | 21 School House Rd Ste 14, Orland, ME 04472-3966 Ph: (207) 752-2341 |