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General NPI Number Information
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NPI Number | 1548635063
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Entity Type | Individual
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Provider Name | TARA SKEATE CRMA, PSS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 57 E MAIN ST
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City | HARRINGTON
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State | ME
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Zip | 04643-3041
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Country | US
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Telephone | 207-598-8668
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Fax | 207-483-8100
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Provider Business Mailing Address
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Address Line | 57 E MAIN ST
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City | HARRINGTON
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State | ME
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Zip | 04643-3041
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Country | US
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Telephone | 207-598-8668
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Fax | 207-483-8100
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | RCC2376
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License Number State | ME
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