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General NPI Number Information
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NPI Number | 1588180426
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Entity Type | Organization
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Legal Business Name | SIVAD PRODUCTIONS, INC
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1 STUYVESANT OVAL APT 2G
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City | NEW YORK
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State | NY
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Zip | 10009-2140
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Country | US
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Telephone | 207-272-0982
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MARGINAL WAY # 9715-181
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City | PORTLAND
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State | ME
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Zip | 04101-2442
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Country | US
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Telephone | 207-272-0982
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Fax |
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Authorized Official
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Title or Position | MASTERS DEGREE IN HEALTH PSYCHOLOGY
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Name | MR. DUDLEY DAVIS
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Credential | MS
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Telephone | 207-272-0982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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