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General NPI Number Information
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NPI Number | 1255241725
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Entity Type | Organization
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Legal Business Name | ADAPTIVE SACO OPCO, LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 392 MAIN ST
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City | SACO
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State | ME
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Zip | 04072-1521
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Country | US
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Telephone | 207-284-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 130 5TH AVE FL 5
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City | NEW YORK
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State | NY
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Zip | 10011-4305
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Country | US
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Telephone | 508-404-3534
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWN BERTRAM
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Credential |
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Telephone | 508-404-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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