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General NPI Number Information
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NPI Number | 1053226571
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Entity Type | Individual
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Provider Name | BAILEE J JEPPESEN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 3715 WOODKING DR
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City | IDAHO FALLS
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State | ID
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Zip | 83404-4720
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Country | US
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Telephone | 208-529-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 280 E LORENE ST APT 16101
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City | REXBURG
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State | ID
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Zip | 83440-1732
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Country | US
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Telephone | 208-881-6616
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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 | 5281321
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License Number State | ID
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