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General NPI Number Information
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NPI Number | 1730962812
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Entity Type | Organization
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Legal Business Name | LEAP AND LEARN THERAPY GROUP LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 1800 KILLIAN LAKES DR APT 15114
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City | COLUMBIA
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State | SC
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Zip | 29203-8878
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Country | US
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Telephone | 912-247-6866
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 KILLIAN LAKES DR APT 15114
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City | COLUMBIA
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State | SC
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Zip | 29203-8878
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Country | US
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Telephone | 912-247-6866
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH THERAPIST
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Name | SHARON TREMBLE
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Credential | SLP
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Telephone | 912-247-6866
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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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