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General NPI Number Information
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NPI Number | 1689559098
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Entity Type | Individual
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Provider Name | AUSTIN COLE BAILEY
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Gender | Male
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2216 W MEADOWVIEW RD STE 211
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City | GREENSBORO
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State | NC
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Zip | 27407-3401
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Country | US
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Telephone | 336-676-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 1448 HIDDEN VALLEY DR
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City | MARTINSVILLE
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State | VA
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Zip | 24112-8408
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Country | US
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Telephone | 276-358-2844
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A21825
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A21825
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License Number State | NC
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