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General NPI Number Information
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NPI Number | 1346915360
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Entity Type | Organization
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Legal Business Name | THE LITTLE LEARNERS SPECTRUM CENTER INC.
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 840 PROGRESS DR
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City | FARMINGTON
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State | MO
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Zip | 63640-9157
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Country | US
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Telephone | 573-915-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 1723 MADISON 250
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-8452
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Country | US
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Telephone | 573-330-1038
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY DAWN SMITH
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Credential |
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Telephone | 573-330-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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