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General NPI Number Information
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NPI Number | 1477170843
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Entity Type | Organization
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Legal Business Name | 3M CARE LLC
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 155 PRESIDENTIAL WAY
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City | WESTBROOK
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State | ME
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Zip | 04092-2553
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Country | US
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Telephone | 207-420-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 6 JAMES HENRY LN
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City | WESTBROOK
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State | ME
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Zip | 04092-2540
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Country | US
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Telephone | 207-420-6118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MULUMBA MULUMBA
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Credential |
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Telephone | 207-420-6118
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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