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General NPI Number Information
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NPI Number | 1558298398
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Entity Type | Organization
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Legal Business Name | LITTLE PINES PEDIATRIC SPEECH THERAPY LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 45 OLD NORTH BRANCH RD
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City | ANTRIM
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State | NH
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Zip | 03440-3513
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Country | US
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Telephone | 603-545-2852
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Fax |
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Provider Business Mailing Address
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Address Line | 38 ECHO LN
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City | HENNIKER
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State | NH
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Zip | 03242-3130
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Country | US
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Telephone | 603-545-2852
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Fax | 603-545-2852
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Authorized Official
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Title or Position | OWNER, SPEECH LANGUAGE PATHOLOGIST
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Name | MARY EMANUELSON
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Credential | CCC-SLP
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Telephone | 603-545-2852
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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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