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General NPI Number Information
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NPI Number | 1033069752
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Entity Type | Organization
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Legal Business Name | EARLY BLOOMERS, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 149 SUNRIFF CT
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City | GREER
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State | SC
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Zip | 29651-5455
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Country | US
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Telephone | 704-676-2661
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Fax | 864-751-4352
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Provider Business Mailing Address
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Address Line | 149 SUNRIFF CT
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City | GREER
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State | SC
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Zip | 29651-5455
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Country | US
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Telephone | 704-676-2661
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Fax | 864-751-4352
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MICHELLE WAKEFIELD
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Credential |
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Telephone | 704-676-2661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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