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NPI 1013957687

NPI 1013957687 : ANDROSCOGGIN HOME HEALTH SERVICES, INC : LEWISTON, ME

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General NPI Number Information
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    NPI Number           |    1013957687
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDROSCOGGIN HOME HEALTH SERVICES, INC 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    15 STRAWBERRY AVE 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240-5941
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    Country              |    US
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    Telephone            |    207-777-7740
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    Fax                  |    207-777-7748
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Provider Business Mailing Address
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    Address Line         |    15 STRAWBERRY AVE 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240-5941
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    Country              |    US
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    Telephone            |    207-777-7740
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    Fax                  |    207-777-7748
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     KENNETH JOSEPH ALBERT 
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    Credential           |    RN
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    Telephone            |    207-795-9442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207QH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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