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NPI 1255499711

NPI 1255499711 : GROWING OPPORTUNITIES, INC. : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1255499711
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    Entity Type          |    Organization 
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    Legal Business Name  |    GROWING OPPORTUNITIES, INC. 
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Dates
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    Enumeration Date     |    12/05/2006
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    Last Update Date     |    05/07/2009
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Provider Practice Location Address
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    Address Line         |    1 LONGFELLOW SQ SUITE 303
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-3792
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    Country              |    US
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    Telephone            |    207-253-5169
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 LONGFELLOW SQ SUITE 303
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-3792
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. RHONDA  JUNEAU 
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    Credential           |    
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    Telephone            |    207-253-5169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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