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General NPI Number Information
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NPI Number | 1831424159
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND CARE SERVICES LLC
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Dates
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Enumeration Date | 10/04/2009
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Last Update Date | 10/04/2009
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Provider Practice Location Address
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Address Line | 344 PREBLE ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2236
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Country | US
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Telephone | 207-899-0171
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Fax | 207-221-1257
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Provider Business Mailing Address
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Address Line | 344 PREBLE ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2236
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Country | US
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Telephone | 207-899-0171
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. TAMMY LEE BICKMORE
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Credential | OT
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Telephone | 207-899-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | ME1002
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License Number State | ME
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