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General NPI Number Information
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NPI Number | 1700116639
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Entity Type | Organization
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Legal Business Name | CARE AND HOPE SERVICES, LLC
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Dates
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Enumeration Date | 12/25/2009
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Last Update Date | 12/25/2009
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Provider Practice Location Address
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Address Line | 2 HORTON PL # 1
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City | PORTLAND
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State | ME
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Zip | 04102-3310
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Country | US
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Telephone | 207-332-4231
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Fax |
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Provider Business Mailing Address
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Address Line | 560 MAIN ST P.O. BOX 10190, PORTLAND, MAINE, 04104
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City | PORTLAND
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State | ME
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Zip | 04106-5409
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Country | US
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Telephone | 207-332-4231
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUSTIN NSENGA
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Credential | M.A
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Telephone | 207-332-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 582960
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License Number State | ME
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