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General NPI Number Information
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NPI Number | 1215281183
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Entity Type | Individual
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Provider Name | NATHALIE ANN BAILEY PMHNP-BC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5 NIGHTINGALE ST
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City | DORCHESTER
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State | MA
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Zip | 02124-2169
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Country | US
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Telephone | 305-766-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 5 NIGHTINGALE ST
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City | DORCHESTER
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State | MA
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Zip | 02124-2169
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Country | US
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Telephone | 305-766-2270
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MA9706
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | XL3913
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2351116
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License Number State | MA
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