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General NPI Number Information
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NPI Number | 1275469686
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Entity Type | Organization
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Legal Business Name | SKILLS FOR LIFE LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 9 DONALD B DEAN DR
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-3252
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Country | US
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Telephone | 610-613-8765
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Fax |
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Provider Business Mailing Address
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Address Line | 9 DONALD B DEAN DR
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-3252
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Country | US
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Telephone | 610-613-8765
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | ASHLEY ST. JOHN
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Credential | PHD
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Telephone | 610-613-8765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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