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General NPI Number Information
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NPI Number | 1184719734
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Entity Type | Organization
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Legal Business Name | SEQUELCARE OF MAINE, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 500 ROUTE 1 SUITE 102
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City | YARMOUTH
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State | ME
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Zip | 04096
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Country | US
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Telephone | 207-847-2273
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Fax | 207-847-2017
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Provider Business Mailing Address
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Address Line | 500 ROUTE 1 STE 102 PO BOX 1397
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City | YARMOUTH
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State | ME
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Zip | 04096-6816
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Country | US
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Telephone | 207-847-2273
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Fax | 207-847-2017
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MICHELE HYLEN
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Credential |
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Telephone | 888-880-6193
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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 | 02730
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License Number State | ME
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