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General NPI Number Information
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NPI Number | 1063377133
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Entity Type | Individual
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Provider Name | BAILEY TOSTLEBE
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Gender | Male
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1250 SW STATE ST
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City | ANKENY
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State | IA
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Zip | 50023-2555
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Country | US
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Telephone | 319-382-9318
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Fax | 855-915-0244
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Provider Business Mailing Address
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Address Line | PO BOX 736706
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City | CHICAGO
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State | IL
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Zip | 60673-6706
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Country | US
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Telephone | 317-502-3512
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Fax | 855-915-0244
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-436334
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License Number State | IA
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