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General NPI Number Information
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NPI Number | 1881714491
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Entity Type | Organization
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Legal Business Name | SANDCASTLE PRESCHOOL PROGRAM FOUNDATION, INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 72 STRAWBERRY AVE
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City | LEWISTON
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State | ME
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Zip | 04240-5952
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Country | US
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Telephone | 207-782-2150
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Fax | 207-782-3621
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Provider Business Mailing Address
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Address Line | 72 STRAWBERRY AVE
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City | LEWISTON
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State | ME
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Zip | 04240-5952
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Country | US
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Telephone | 207-782-2150
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Fax | 207-782-3621
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. STEPHANIE GELINAS
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Credential | M.S,CCC-SLP
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Telephone | 207-782-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 215544
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License Number State | ME
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