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General NPI Number Information
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NPI Number | 1285110296
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Entity Type | Individual
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Provider Name | JENNIFER BAILEY M.S.CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 1 STILES RD
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City | SALEM
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State | NH
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Zip | 03079-4859
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Country | US
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Telephone | 855-390-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 18 PIMLICO CT
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City | BEDFORD
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State | NH
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Zip | 03110-6503
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Country | US
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Telephone | 603-540-9670
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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 |
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License Number State |
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