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General NPI Number Information
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NPI Number | 1154244481
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Entity Type | Individual
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Provider Name | BAYLEIGH ROTH MSW
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1715 W NORTHERN AVE
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City | PHOENIX
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State | AZ
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Zip | 85021-5472
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Country | US
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Telephone | 888-606-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 25121 N 115TH AVE APT 105
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City | SUN CITY
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State | AZ
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Zip | 85373-0005
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Country | US
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Telephone | 623-251-0492
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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