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General NPI Number Information
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NPI Number | 1154283018
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Entity Type | Individual
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Provider Name | KERRY-ANN NICOLE BAILEY MS
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 350 LINWOOD ST
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City | BROOKLYN
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State | NY
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Zip | 11208-2116
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Country | US
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Telephone | 516-360-6538
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Fax |
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Provider Business Mailing Address
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Address Line | 3614 165TH ST APT 6HS
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City | FLUSHING
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State | NY
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Zip | 11358-2040
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Country | US
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Telephone | 516-360-6538
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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 | 034437
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License Number State | NY
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