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General NPI Number Information
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NPI Number | 1144115213
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Entity Type | Individual
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Provider Name | BAILEY BUTLER
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 1315 S BELL AVE STE 108
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City | AMES
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State | IA
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Zip | 50010-7730
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Country | US
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Telephone | 515-337-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 1997 HIGHWAY T38 S LOT 60
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City | GRINNELL
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State | IA
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Zip | 50112-7693
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Country | US
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Telephone | 765-744-8390
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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