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General NPI Number Information
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NPI Number | 1184549313
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Entity Type | Individual
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Provider Name | SHANICE BAILEY
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 2464 CHARLOTTE ST APT 1907
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City | KANSAS CITY
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State | MO
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Zip | 64108-2718
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Country | US
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Telephone | 816-235-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2464 CHARLOTTE ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2718
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24424149
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License Number State | MO
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