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General NPI Number Information
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NPI Number | 1982093571
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Entity Type | Organization
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Legal Business Name | NORTHERN VISTA ESTATE SERVICES
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Dates
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Enumeration Date | 01/20/2015
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 791 NORTH RD
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City | BETHEL
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State | ME
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Zip | 04217-3212
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Country | US
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Telephone | 207-836-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 791 NORTH RD
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City | BETHEL
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State | ME
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Zip | 04217-3212
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Country | US
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Telephone | 207-836-2173
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GERRY MCCANN
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Credential |
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Telephone | 207-836-2173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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