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General NPI Number Information
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NPI Number | 1417640731
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Entity Type | Individual
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Provider Name | KAYLEE COBB
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Gender | Female
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 11156 CANAL RD STE A
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City | CINCINNATI
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State | OH
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Zip | 45241-5816
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Country | US
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Telephone | 513-772-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 3870 MURPHY CANYON RD STE 320
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City | SAN DIEGO
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State | CA
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Zip | 92123-4453
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Country | US
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Telephone | 858-300-0460
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | S.2512776
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | ASW135485
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License Number State | CA
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