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General NPI Number Information
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NPI Number | 1831804905
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Entity Type | Individual
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Provider Name | FRANCINE M BAILEY
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 451 EASTLAND DR STE 7
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City | TWIN FALLS
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State | ID
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Zip | 83301-7454
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Country | US
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Telephone | 208-258-7681
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Fax |
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Provider Business Mailing Address
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Address Line | 2667 FAIRMONT DR
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City | BURLEY
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State | ID
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Zip | 83318-2823
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Country | US
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Telephone | 208-650-1497
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 43048
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License Number State | ID
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