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General NPI Number Information
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NPI Number | 1073491643
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Entity Type | Organization
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Legal Business Name | SUMMIT SPEECH THERAPY LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 255 MAIN ST
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2509
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Country | US
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Telephone | 860-628-0947
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Fax |
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Provider Business Mailing Address
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Address Line | 956 W CENTER STREET EXT
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City | SOUTHINGTON
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State | CT
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Zip | 06489-2156
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Country | US
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Telephone | 860-877-6380
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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 | SAMANTHA MARTINS
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Credential |
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Telephone | 860-877-6380
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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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