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General NPI Number Information
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NPI Number | 1134548969
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Entity Type | Individual
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Provider Name | HAILEY FELDHAUS M.A.CCC-SLP, C.B.I.S
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Gender | Female
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1706 E JOYCE BLVD STE 2
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5249
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Country | US
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Telephone | 479-358-7819
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Fax | 479-957-9111
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Provider Business Mailing Address
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Address Line | 1706 E JOYCE BLVD STE 2
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5249
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Country | US
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Telephone | 479-358-7819
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Fax | 479-957-9111
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 14042224
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License Number State | AR
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