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General NPI Number Information
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NPI Number | 1265433486
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Entity Type | Organization
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Legal Business Name | CARE & COMFORT
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 180 MAIN ST
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City | WATERVILLE
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State | ME
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Zip | 04901-6666
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Country | US
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Telephone | 207-872-5300
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Fax | 207-873-6612
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Provider Business Mailing Address
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Address Line | 180 MAIN ST
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City | WATERVILLE
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State | ME
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Zip | 04901-6666
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Country | US
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Telephone | 207-872-5300
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Fax | 207-873-6612
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUSAN GIGUERE
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Credential |
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Telephone | 207-872-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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