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General NPI Number Information
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NPI Number | 1699483776
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH BAYLESS PHD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 3920 N UNION BLVD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4921
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Country | US
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Telephone | 719-327-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 8208 HOLLYGRAPE LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80927-4055
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Country | US
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Telephone | 630-542-1332
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 03230
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License Number State | KS
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