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General NPI Number Information
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NPI Number | 1982291738
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Entity Type | Organization
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Legal Business Name | PROJECTLIFE SERVICES, LLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 27 LONG MEADOW FARM DR
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City | EPPING
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State | NH
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Zip | 03042-2910
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Country | US
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Telephone | 603-235-9429
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Fax |
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Provider Business Mailing Address
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Address Line | 27 LONG MEADOW FARM DR
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City | EPPING
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State | NH
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Zip | 03042-2910
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Country | US
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Telephone | 603-235-9429
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Fax |
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Authorized Official
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Title or Position | OWNER BEHAVIOR ANALYST
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Name | HOLLY BLAIS
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Credential | BCBA
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Telephone | 603-235-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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