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General NPI Number Information
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NPI Number | 1528875010
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS SUPPORT SERVICES
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 415 CONGRESS ST STE 423
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City | PORTLAND
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State | ME
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Zip | 04101-3500
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Country | US
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Telephone | 612-644-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 12215 3RD ST NE
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City | BLAINE
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State | MN
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Zip | 55434-1981
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Country | US
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Telephone | 952-254-0685
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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. MOHOMED ABDI ELMI
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Credential |
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Telephone | 612-644-7231
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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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