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General NPI Number Information
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NPI Number | 1538934690
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Entity Type | Organization
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Legal Business Name | HOLISTIC SUPPORT SERVICES
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 238 CAMPGROUND RD
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City | LIVERMORE FALLS
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State | ME
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Zip | 04254-4522
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Country | US
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Telephone | 207-632-7243
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Fax |
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Provider Business Mailing Address
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Address Line | 238 CAMPGROUND RD
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City | LIVERMORE FALLS
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State | ME
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Zip | 04254-4522
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Country | US
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Telephone | 207-632-7243
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA MAY MILLIGAN
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Credential | RN
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Telephone | 207-632-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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