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General NPI Number Information
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NPI Number | 1174451421
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Entity Type | Individual
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Provider Name | ALYSSA HAAS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 221 8TH ST N
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-4488
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Country | US
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Telephone | 715-424-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 3110 MARIGOLD AVE
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54495-1741
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Country | US
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Telephone |
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Fax |
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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 | 1001349988
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License Number State | WI
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