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General NPI Number Information
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NPI Number | 1649035585
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Entity Type | Organization
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Legal Business Name | ADAPTIVE PATH LEARNING COLLECTIVE
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 404 WOLF SPRINGS RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-2736
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Country | US
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Telephone | 978-328-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 404 WOLF SPRINGS RD
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City | GEORGETOWN
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State | TX
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Zip | 78628-2736
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Country | US
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Telephone | 978-328-8150
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Fax |
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Authorized Official
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Title or Position | CO-OWNER SLP
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Name | JENNA KELLOGG
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Credential | M.S. CCC-SLP
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Telephone | 978-328-8150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 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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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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