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General NPI Number Information
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NPI Number | 1669629861
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Entity Type | Individual
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Provider Name | KRISTEN MUSTEEN M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 9649 W PLEASANT GROVE RD
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City | BENTONVILLE
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State | AR
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Zip | 72713-2004
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Country | US
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Telephone | 417-455-0907
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Fax | 417-451-8855
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Provider Business Mailing Address
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Address Line | 6 MURROW LN
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City | BELLA VISTA
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State | AR
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Zip | 72714-4815
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Country | US
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Telephone | 479-936-4122
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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 |
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License Number State | AR
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