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General NPI Number Information
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NPI Number | 1093365827
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Entity Type | Organization
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Legal Business Name | HOME HEALTH CARE OF NORTHERN MAINE, INC
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 791 NORTH RD
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City | BETHEL
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State | ME
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Zip | 04217-3212
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Country | US
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Telephone | 207-836-2173
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1943
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City | BETHEL
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State | ME
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Zip | 04217-1943
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Country | US
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Telephone | 207-836-2173
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN MICHAEL KIRK
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Credential |
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Telephone | 207-836-2173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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