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General NPI Number Information
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NPI Number | 1558754333
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Entity Type | Individual
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Provider Name | JOCELIN BAILEY LICSW
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 4801 BENNING RD SE KIPP DC
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City | WASHINGTON
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State | DC
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Zip | 20019
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Country | US
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Telephone | 202-553-2395
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Fax | 202-582-4680
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Provider Business Mailing Address
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Address Line | 4801 BENNING RD SE
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City | WASHINGTON
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State | DC
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Zip | 20019-6145
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Country | US
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Telephone | 202-553-2395
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Fax | 202-582-4680
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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 | LC50079185
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License Number State | DC
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