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General NPI Number Information
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NPI Number | 1720917743
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Entity Type | Organization
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Legal Business Name | FRIENDS4LIFE LLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 8 HAYES DR, UNIT 38
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City | NORTH WOODSTOCK
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State | NH
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Zip | 03262
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Country | US
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Telephone | 774-319-1469
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 356
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City | NORTH WOODSTOCK
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State | NH
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Zip | 03262-0356
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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 | MEMBER/OWNER
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Name | STEPHEN BOGAN
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Credential |
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Telephone | 774-319-1469
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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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