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General NPI Number Information
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NPI Number | 1396407524
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Entity Type | Individual
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Provider Name | CANDACE SUE BAILEY LPC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 8219 FRONT BEACH RD STE B
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-4822
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Country | US
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Telephone | 334-203-7277
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Fax | 855-591-0277
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Provider Business Mailing Address
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Address Line | 102 N 26TH ST
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City | MEXICO BEACH
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State | FL
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Zip | 32456-7102
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Country | US
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Telephone | 334-549-7333
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4514
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License Number State | AL
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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 | 24820
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License Number State | FL
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