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General NPI Number Information
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NPI Number | 1760690622
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Entity Type | Organization
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Legal Business Name | LIFE-SKILLS, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 44 MORRIS ST
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City | WEBSTER
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State | MA
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Zip | 01570-1812
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Country | US
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Telephone | 508-949-8080
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Fax | 508-949-6129
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Provider Business Mailing Address
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Address Line | 44 MORRIS ST
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City | WEBSTER
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State | MA
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Zip | 01570-1812
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Country | US
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Telephone | 508-949-8080
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Fax | 508-949-6129
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES THOMAS AMICK
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Credential | M.S.
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Telephone | 508-949-8080
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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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Legacy Identifiers
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Identifier #1
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Identifier Code | 1300059
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Identifier Type | MEDICAID
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Identifier State | MA
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 1300059
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Identifier Type | MEDICAID
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Identifier State | MA
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Identifier Issuer |
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