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General NPI Number Information
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NPI Number | 1285446138
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Entity Type | Organization
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Legal Business Name | MK HOME CARE LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 21 FOREST ST
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City | SACO
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State | ME
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Zip | 04072-3125
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Country | US
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Telephone | 207-213-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FOREST ST
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City | SACO
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State | ME
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Zip | 04072-3125
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Country | US
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Telephone | 207-213-9609
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMMAD GHASSAN ABDULLAH
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Credential |
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Telephone | 207-213-9609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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