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General NPI Number Information
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NPI Number | 1215718291
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Entity Type | Individual
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Provider Name | ASHLEY BAILEY
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Gender | Female
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1815 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44313-7000
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Country | US
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Telephone | 855-747-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 22423 FAIRLAWN CIR
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-2203
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP.0038179
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.501958
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License Number State | OH
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