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General NPI Number Information
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NPI Number | 1447447321
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Entity Type | Individual
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Provider Name | MEGAN BAYLES BARTLEY MAMFT
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 10200 FOREST GREEN BLVD SUITE 112
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City | LOUISVILLE
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State | KY
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Zip | 40223-5165
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Country | US
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Telephone | 502-213-5940
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Fax |
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Provider Business Mailing Address
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Address Line | 3604 FALLEN TIMBER DR
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City | LOUISVILLE
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State | KY
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Zip | 40241-1619
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Country | US
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Telephone | 512-507-1518
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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 | 0886
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License Number State | KY
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