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General NPI Number Information
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NPI Number | 1285422733
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Entity Type | Individual
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Provider Name | BAILEY CAMPBELL
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Gender | Female
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 10524 EUCLID AVE # 1155A
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City | CLEVELAND
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State | OH
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Zip | 44106-2205
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Country | US
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Telephone | 216-983-1362
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 DERBYSHIRE RD APT 12
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44106-3231
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Country | US
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Telephone | 614-477-8089
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2406358
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License Number State | OH
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