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General NPI Number Information
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NPI Number | 1598491292
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Entity Type | Individual
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Provider Name | BAILEY ELIZABETH CAUTHEN M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 326 NORCROSS DR
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City | LAFAYETTE
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State | LA
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Zip | 70508-8185
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Country | US
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Telephone | 832-629-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 11403 CEDAR GULLY RD
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City | BEACH CITY
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State | TX
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Zip | 77523-8280
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Country | US
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Telephone | 832-629-2929
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 119924
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9413
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License Number State | LA
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