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General NPI Number Information
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NPI Number | 1316924269
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Entity Type | Organization
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Legal Business Name | HOME CARE SERVICES INC
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 650 MAIN ST
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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 | 207-774-4201
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Fax | 207-773-6140
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Provider Business Mailing Address
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Address Line | 650 MAIN ST
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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 | 207-774-4201
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Fax | 207-773-6140
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Authorized Official
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Title or Position | CO OWNER
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Name | MRS. SHERRY L BERRYMAN
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Credential |
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Telephone | 207-744-4201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5269409
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License Number State |
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