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General NPI Number Information
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NPI Number | 1255248902
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Entity Type | Organization
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Legal Business Name | MHT-VISION SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 45 LANGLEY ST
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City | BANGOR
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State | ME
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Zip | 04401-2816
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Country | US
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Telephone | 917-436-5147
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Fax |
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Provider Business Mailing Address
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Address Line | 45 LANGLEY ST
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City | BANGOR
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State | ME
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Zip | 04401-2816
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Country | US
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Telephone | 917-436-5147
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOEL MUHETO
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Credential |
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Telephone | 917-436-5147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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