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NPI 1962646844

NPI 1962646844 : ANDROSCOGGIN HOME HEALTH SERVICES, INC. : LEWISTON, ME

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General NPI Number Information
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    NPI Number           |    1962646844
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANDROSCOGGIN HOME HEALTH SERVICES, INC. 
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Dates
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    Enumeration Date     |    04/23/2009
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    72 STRAWBERRY AVE 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240
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    Country              |    US
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    Telephone            |    207-782-2150
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    Fax                  |    207-782-3621
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Provider Business Mailing Address
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    Address Line         |    15 STRAWBERRY AVE 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240-5941
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    Country              |    US
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    Telephone            |    207-777-7740
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    Fax                  |    207-777-7748
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |     KENNETH JOSEPH ALBERT 
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    Credential           |    
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    Telephone            |    207-777-7740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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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        |    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 #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    222Q00000X
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    Taxonomy Name        |    Developmental Therapist
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    License Number       |    
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    License Number State |    
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