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General NPI Number Information
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NPI Number | 1497422489
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Entity Type | Organization
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Legal Business Name | SACOPEE VALLEY PERSONAL CARE AGENCY
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 42 GARNER AVE.
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City | PARSONSFIELD
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State | ME
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Zip | 04047
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Country | US
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Telephone | 207-625-9415
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Fax | 207-625-9520
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Provider Business Mailing Address
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Address Line | 42 GARNER AVE.
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City | PARSONSFIELD
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State | ME
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Zip | 04047
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Country | US
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Telephone | 207-625-9415
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Fax | 207-625-9520
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KIMBERLY ANNE DUBOIS
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Credential | RN
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Telephone | 207-625-9415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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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