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General NPI Number Information
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NPI Number | 1790057321
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Entity Type | Organization
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Legal Business Name | TINY TALKERS LLC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 30359 JIM WILLIAMS RD
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City | BUSH
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State | LA
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Zip | 70431-4165
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Country | US
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Telephone | 985-789-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 30359 JIM WILLIAMS RD
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City | BUSH
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State | LA
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Zip | 70431-4165
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Country | US
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Telephone | 985-789-4800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH ANN CARDWELL
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Credential | MS CCC-SLP
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Telephone | 985-789-4800
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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 | 6356
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License Number State | LA
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