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General NPI Number Information
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NPI Number | 1316282957
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Entity Type | Organization
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Legal Business Name | LANGUAGE AND LEARNING TIME, INC.
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Dates
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Enumeration Date | 12/09/2012
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Last Update Date | 12/09/2012
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Provider Practice Location Address
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Address Line | 406 MICHIGAN AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-1430
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Country | US
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Telephone | 850-774-2313
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Fax | 850-248-0447
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Provider Business Mailing Address
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Address Line | 406 MICHIGAN AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-1430
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Country | US
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Telephone | 850-774-2313
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Fax | 850-248-0447
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Authorized Official
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Title or Position | CEO
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Name | ELIZABETH ASHLEY
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Credential | MS CCC-SLP
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Telephone | 850-774-2313
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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 | SA10398
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License Number State | FL
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