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General NPI Number Information
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NPI Number | 1366262289
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Entity Type | Organization
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Legal Business Name | TOTAL CARE HOME CARE, MAINE LLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 246 AUBURN ST APT 51
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City | PORTLAND
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State | ME
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Zip | 04103-2156
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Country | US
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Telephone | 207-800-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 328 CEDAR PARK BLVD
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City | EASTON
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State | PA
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Zip | 18042-7114
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Country | US
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Telephone | 585-709-2323
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | LOVE PATRICIA CHRISTOPHERS
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Credential | RN
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Telephone | 585-709-2323
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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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