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General NPI Number Information
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NPI Number | 1902307903
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Entity Type | Organization
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Legal Business Name | HARPER LANGUAGE & LEARNING
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Dates
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Enumeration Date | 02/24/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 1615 WOLF CIR STE B
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City | LAKE CHARLES
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State | LA
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Zip | 70605-2348
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Country | US
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Telephone | 317-331-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 810 E KADE LN
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City | LAKE CHARLES
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State | LA
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Zip | 70605-7197
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Country | US
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Telephone | 317-331-6574
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON HARPER
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Credential | CCC-SLP , BCBA
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Telephone | 317-331-6574
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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 | 6270
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L-188
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License Number State | LA
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