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General NPI Number Information
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NPI Number | 1174899397
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Entity Type | Organization
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Legal Business Name | LIFE MANAGEMENT COACHING SOLUTIONS
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 18 COMMON ST SUITE 203
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City | WATERVILLE
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State | ME
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Zip | 04901-6678
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Country | US
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Telephone | 207-861-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 18 COMMON ST SUITE 203
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City | WATERVILLE
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State | ME
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Zip | 04901-6678
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Country | US
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Telephone | 207-861-2028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SHAWN AARON FUREY
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Credential |
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Telephone | 207-861-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | ME
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