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General NPI Number Information
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NPI Number | 1538394374
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Entity Type | Organization
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Legal Business Name | MC COMMUNITY SERVICES
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 58 ENFIELD RD
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City | LINCOLN
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State | ME
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Zip | 04457-1175
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Country | US
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Telephone | 207-794-3133
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Fax | 207-794-3155
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | LINCOLN
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State | ME
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Zip | 04457-0186
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Country | US
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Telephone | 207-794-3133
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Fax | 207-794-3155
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL PREBLE
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Credential |
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Telephone | 207-794-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | CBH-10-9902
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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