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Individual
JOSEPH RODMAN DRAKE DEKAY
Active
Individual
JOSEPH RODMAN DRAKE DEKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
994
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002061
ANTHEM
ME
05
—
112190000
—
ME
01
—
4573273
CIGNA
ME
01
—
D93091
HARVARD PILGRIM
ME
Enumeration date
09/20/2006
Last updated
11/01/2010
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