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General NPI Number Information
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NPI Number | 1295624229
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Entity Type | Organization
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Legal Business Name | LET'S BLOOM PEDIATRIC SPEECH THERAPY LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 40 OLD LOUISQUISSET PIKE STE 150
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-8270
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Country | US
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Telephone | 401-203-4989
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Fax |
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Provider Business Mailing Address
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Address Line | 561 BLACK PLAIN RD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-9515
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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 | OWNER
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Name | KATIE CIANCI
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Credential |
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Telephone | 860-685-1185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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