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General NPI Number Information
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NPI Number | 1376663054
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Entity Type | Organization
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Legal Business Name | MARIAN HALE KNAUST, MS-CCC-SLP
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4310 WARWICK CV
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City | SPRINGDALE
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State | AR
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Zip | 72762-8297
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Country | US
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Telephone | 479-872-1351
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 WARWICK CV
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City | SPRINGDALE
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State | AR
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Zip | 72762-8297
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Country | US
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Telephone | 479-872-1351
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARIAN KNAUST
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Credential | MS-CCC-SLP
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Telephone | 479-872-1351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | SP#819
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP#819
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License Number State | AR
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