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General NPI Number Information
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NPI Number | 1295559383
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Entity Type | Organization
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Legal Business Name | GUARDIAN SERVICES
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 650 MAIN ST STE 201A
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-5448
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Country | US
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Telephone | 612-756-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 650 MAIN ST STE 201A
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-5448
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Country | US
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Telephone | 612-756-5546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAHYE FARAH
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Credential |
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Telephone | 612-756-5546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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