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General NPI Number Information
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NPI Number | 1043105778
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Entity Type | Organization
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Legal Business Name | LITTLE SNACKERS THERAPEUTIC PROGRAMS
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 116 LONG POND RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-2663
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Country | US
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Telephone | 774-454-9481
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Fax |
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Provider Business Mailing Address
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Address Line | 11 LAKEWOOD DR
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City | PLYMOUTH
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State | MA
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Zip | 02360-1993
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | MS. SAMANTHA NICOLE DEAN
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Credential | MS, OTR/L
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Telephone | 774-454-9481
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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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Taxonomy #2
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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 #3
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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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