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General NPI Number Information
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NPI Number | 1811707094
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Entity Type | Organization
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Legal Business Name | RELIABLE CARE LLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 175 LANCASTER ST
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City | PORTLAND
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State | ME
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Zip | 04101-2400
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Country | US
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Telephone | 832-640-7085
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Fax |
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Provider Business Mailing Address
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Address Line | 175 LANCASTER ST
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City | PORTLAND
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State | ME
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Zip | 04101-2400
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Country | US
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Telephone | 832-640-7085
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEANINE UWINEZA RUGAMBAGE
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Credential |
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Telephone | 832-640-7085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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