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General NPI Number Information
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NPI Number | 1528868767
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Entity Type | Organization
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Legal Business Name | DR. TEMPII B. CHAMPION SPEECH LANGUAGE PATHOLOGIST, P.C.
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 13461 175TH ST
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City | JAMAICA
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State | NY
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Zip | 11434-4541
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Country | US
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Telephone | 347-954-8110
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Fax |
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Provider Business Mailing Address
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Address Line | 13461 175TH ST
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City | JAMAICA
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State | NY
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Zip | 11434-4541
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Country | US
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Telephone | 347-954-8110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TEMPII B CHAMPION
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Credential | MD
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Telephone | 347-954-8110
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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 |
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License Number State |
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