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General NPI Number Information
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NPI Number | 1336755313
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Entity Type | Individual
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Provider Name | KENDRA BAILEY
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Gender | Female
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 13707 FAIRHILL AVE
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City | EDMOND
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State | OK
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Zip | 73013-1946
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Country | US
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Telephone | 405-607-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 W US HIGHWAY 290 APT 2208
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City | AUSTIN
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State | TX
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Zip | 78736-0005
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Country | US
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Telephone | 214-491-9820
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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