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General NPI Number Information
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NPI Number | 1174946313
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Entity Type | Organization
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Legal Business Name | ADAPTIVE HOMES INC.
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Dates
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Enumeration Date | 01/23/2014
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 795 WINSLOWS MILLS RD
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City | WALDOBORO
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State | ME
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Zip | 04572-5922
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Country | US
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Telephone | 207-215-9761
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Fax | 207-832-2213
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Provider Business Mailing Address
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Address Line | 795 WINSLOWS MILLS RD
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City | WALDOBORO
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State | ME
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Zip | 04572-5922
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Country | US
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Telephone | 207-215-9761
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Fax | 207-832-2213
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. BRIAN CHRISTIAN DOWNING
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Credential | MS, OTR/L
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Telephone | 207-215-9761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT1601
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License Number State | ME
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