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General NPI Number Information
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NPI Number | 1548080492
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Entity Type | Organization
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Legal Business Name | CHAMPLAIN LANGUAGE CONNECTION PLC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 10 KETCHAM DR
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-4439
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Country | US
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Telephone | 802-922-2623
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Fax | 802-341-6534
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Provider Business Mailing Address
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Address Line | 10 KETCHAM DR
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-4439
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Country | US
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Telephone | 802-922-2623
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Fax | 802-341-6534
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Authorized Official
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Title or Position | OWNER/LEAD CLINICIAN
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Name | MARY B COTTON
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Credential | M.A. CCC-SLP
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Telephone | 802-922-2623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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