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General NPI Number Information
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NPI Number | 1033045117
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Entity Type | Organization
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Legal Business Name | LITTLE WAVES SPEECH & AAC THERAPY, LLC
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 108 WINDING WAY
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City | HAMMONTON
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State | NJ
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Zip | 08037
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Country | US
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Telephone | 609-226-8418
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Fax |
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Provider Business Mailing Address
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Address Line | 108 WINDING WAY
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City | HAMMONTON
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State | NJ
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Zip | 08037
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Country | US
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Telephone | 609-226-8418
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-LANGUAGE PATHOLOGIST
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Name | JENNIE FIAMINGO
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Credential | M.S., CCC-SLP/L
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Telephone | 609-226-8418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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