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General NPI Number Information
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NPI Number | 1427850189
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Entity Type | Organization
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Legal Business Name | HAPPY CAMPER SPEECH THERAPY LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 180 SCHNEIDER DR
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City | FORT MYERS
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State | FL
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Zip | 33905-2726
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Country | US
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Telephone | 239-310-1081
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SCHNEIDER DR
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City | FORT MYERS
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State | FL
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Zip | 33905-2726
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | MARY K ADAMS
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Credential | MS, CCC-SLP
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Telephone | 239-310-1081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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