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General NPI Number Information
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NPI Number | 1992621056
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Entity Type | Organization
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Legal Business Name | SEACOAST VITAL SERVICES, LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 8 TARTON RD
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City | YORK
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State | ME
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Zip | 03909-5319
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Country | US
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Telephone | 207-292-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 647 US ROUTE 1 STE 14
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City | YORK
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State | ME
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Zip | 03909-1651
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Country | US
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Telephone | 207-292-9484
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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. DEVORA L GAVEL
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Credential |
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Telephone | 207-292-9484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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