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General NPI Number Information
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NPI Number | 1831767680
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Entity Type | Organization
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Legal Business Name | HALE SPEECH PATHOLOGY, LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 4606 SW SKYLINE ST
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City | BENTONVILLE
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State | AR
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Zip | 72713-7806
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Country | US
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Telephone | 479-616-2727
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Fax | 479-668-2257
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Provider Business Mailing Address
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Address Line | 4606 SW SKYLINE ST
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City | BENTONVILLE
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State | AR
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Zip | 72713-7806
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Country | US
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Telephone | 479-616-2727
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Fax | 479-668-2257
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEANNE HALE
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Credential | MS, CCC-SLP
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Telephone | 479-616-2727
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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 |
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