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General NPI Number Information
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NPI Number | 1427283159
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Entity Type | Organization
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Legal Business Name | RICHMOND ELDERCARE COALITION
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 18 HATHORN ST
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City | RICHMOND
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State | ME
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Zip | 04357-1161
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Country | US
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Telephone | 207-737-8911
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Fax | 207-737-8102
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Provider Business Mailing Address
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Address Line | 18 HATHORN ST P.O. BOX 145
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City | RICHMOND
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State | ME
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Zip | 04357-1161
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Country | US
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Telephone | 207-737-8911
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Fax | 207-737-8102
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DENISE GIBBS
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Credential |
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Telephone | 207-737-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALLS 3462
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License Number State | ME
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