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General NPI Number Information
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NPI Number | 1700111408
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Entity Type | Organization
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Legal Business Name | SACO RIVER SENIOR SERVICES INC
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 802 MAIN STREET
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City | WATERBORO
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State | ME
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Zip | 04087
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Country | US
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Telephone | 207-247-9000
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Fax | 207-247-6109
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Provider Business Mailing Address
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Address Line | PO BOX 69
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City | WATERBORO
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State | ME
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Zip | 04087-0069
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE SEGEE
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Credential |
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Telephone | 207-247-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 459118
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License Number State | ME
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