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General NPI Number Information
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NPI Number | 1275057184
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Entity Type | Individual
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Provider Name | KELLY MARIE BAILEY AUD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 715 CLINIC DR RM 1042
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City | WEST LAFAYETTE
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State | IN
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Zip | 47907-2122
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Country | US
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Telephone | 317-880-7066
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Fax | 317-880-0532
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Provider Business Mailing Address
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Address Line | 8753 LILY CT
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City | ZIONSVILLE
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State | IN
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Zip | 46077-8535
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Country | US
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Telephone | 317-287-4752
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 23002630A
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License Number State | IN
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