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General NPI Number Information
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NPI Number | 1083820583
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Entity Type | Organization
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Legal Business Name | BAILEY HOUSE INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 145 E 125TH ST FL 4 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10035-1714
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Country | US
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Telephone | 718-277-0386
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Fax | 929-480-9133
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Provider Business Mailing Address
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Address Line | 145 E 125TH ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10035-1714
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Country | US
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Telephone | 718-408-6522
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Fax | 929-480-9133
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | DEBORA CARRERO
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Credential |
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Telephone | 718-408-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 8124001A
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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