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General NPI Number Information
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NPI Number | 1154552206
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Entity Type | Individual
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Provider Name | MARGARET CHRISTINE LIBBY -TARDIF
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Gender | Female
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 740 MAIN ST STE 2
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City | WATERBORO
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State | ME
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Zip | 04087-3011
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Country | US
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Telephone | 207-205-6723
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Fax | 207-298-9808
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Provider Business Mailing Address
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Address Line | PO BOX 454
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City | WATERBORO
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State | ME
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Zip | 04087-0454
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Country | US
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Telephone | 207-205-6723
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Fax | 207-298-9808
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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 | ME
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Taxonomy #4
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | ME
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