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General NPI Number Information
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NPI Number | 1013776889
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Entity Type | Individual
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Provider Name | TIFFANIE JOY BAILEY DNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3400 SPRUCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4384
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Country | US
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Telephone | 215-316-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 EVERGREEN WALK
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City | PHILADELPHIA
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State | PA
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Zip | 19125-4384
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Country | US
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Telephone | 856-979-1616
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN696852
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030479
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR19493800
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License Number State | NJ
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