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General NPI Number Information
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NPI Number | 1326993668
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Entity Type | Organization
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Legal Business Name | HOME NURSING CARE LLC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 31 STATE ST APT 3
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City | PORTLAND
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State | ME
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Zip | 04101-3768
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Country | US
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Telephone | 512-228-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 31 STATE ST APT 3
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City | PORTLAND
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State | ME
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Zip | 04101-3768
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Country | US
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Telephone | 512-228-9991
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIMITRY PHILIP SHEVORSKI
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Credential | RN
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Telephone | 512-228-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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