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General NPI Number Information
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NPI Number | 1326625344
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Entity Type | Individual
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Provider Name | BAILEY NICOLE KRAFT MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/25/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 3111 W ARMITAGE AVE STE 200
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City | CHICAGO
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State | IL
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Zip | 60647-3818
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Country | US
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Telephone | 630-440-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 917 W SUNNYSIDE AVE APT 1S
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City | CHICAGO
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State | IL
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Zip | 60640-6068
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Country | US
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Telephone | 630-440-2616
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.001459
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License Number State | IL
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