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General NPI Number Information
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NPI Number | 1073857520
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Entity Type | Individual
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Provider Name | MARTHA LOUISE ADAMS MA,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/22/2012
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1421 E RACINE AVE APT C
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City | WAUKESHA
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State | WI
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Zip | 53186-6486
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Country | US
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Telephone | 239-261-2554
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Fax | 239-261-4540
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Provider Business Mailing Address
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Address Line | 1421 E RACINE AVE APT C
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City | WAUKESHA
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State | WI
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Zip | 53186-6486
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Country | US
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Telephone | 262-623-3753
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Fax | 479-431-6081
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1084-154
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License Number State | WI
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