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NPI 1679078752

NPI 1679078752 : LITTLE CHAMPIONS THERAPY AND SERVICES : CLERMONT, FL

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General NPI Number Information
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    NPI Number           |    1679078752
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    Entity Type          |    Organization 
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    Legal Business Name  |    LITTLE CHAMPIONS THERAPY AND SERVICES 
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Dates
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    Enumeration Date     |    03/29/2018
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    10879 LANTANA CRST 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-8990
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    Country              |    US
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    Telephone            |    813-825-1836
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    Fax                  |    888-719-7820
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Provider Business Mailing Address
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    Address Line         |    10879 LANTANA CRST 
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    City                 |    CLERMONT
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    State                |    FL
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    Zip                  |    34711-8990
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    Country              |    US
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    Telephone            |    813-825-1836
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    Fax                  |    888-719-7820
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARY  NONCENT 
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    Credential           |    
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    Telephone            |    813-825-1836
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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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