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General NPI Number Information
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NPI Number | 1679564017
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Entity Type | Organization
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Legal Business Name | MAINEGENERAL HEALTH REHABILITATION & LONG TERM CARE
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 40 GLENRIDGE DRIVE
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City | AUGUSTA
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State | ME
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Zip | 04330-6606
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Country | US
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Telephone | 207-626-2600
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Fax | 207-621-0277
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Provider Business Mailing Address
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Address Line | 40 GLENRIDGE DRIVE
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City | AUGUSTA
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State | ME
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Zip | 04330-6606
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Country | US
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Telephone | 207-626-2600
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Fax | 207-621-0277
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MR. GREGORY PIZZO
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Credential | MBA
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Telephone | 207-861-3451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | AT965
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License Number State | ME
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