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The Shooting Stars Program
Specialist in Scarborough, Maine
NPI 1740415488

The Shooting Stars Program is a Specialist based in Scarborough, ME. The Shooting Stars Program practices in Scarborough, ME. The NPI Number for The Shooting Stars Program is 1740415488 and holds a License No. (Maine).

The current practice location address for The Shooting Stars Program is 152 Us Route 1, Scarborough, ME and can be reached out via phone at 207-883-5882.

Location: 152 Us Route 1, Scarborough, ME, 04074-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740415488
Provider Name
The Shooting Stars Program
Credential
Provider Entity Type
Organization
Address
152 Us Route 1, Scarborough, ME, 04074-9027
Phone Number
207-883-5882
Fax Number
Provider Enumeration Date
05/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
217310000 01 ME MAINECARE IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
152 Us Route 1
City
Scarborough
State
Maine
Zip
04074-8365
Phone Number
207-883-5882
Fax Number
person
Provider Business Mailing Address Details
Address
152 Us Route 1
City
Scarborough
State
Maine
Zip
04074-8365
Phone Number
207-883-5882
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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