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General NPI Number Information
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NPI Number | 1366021289
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Entity Type | Organization
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Legal Business Name | LIFE TRANSITION SERVICES, LLC
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 60 PINE MILL ROAD
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City | NORTH HAVERHILL
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State | NH
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Zip | 03774
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Country | US
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Telephone | 603-787-6656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 393
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City | NORTH HAVERHILL
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State | NH
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Zip | 03774-0393
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Country | US
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Telephone | 603-787-6656
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Fax | 603-853-8000
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JEFFREY MAERDER
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Credential |
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Telephone | 603-787-6656
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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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