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General NPI Number Information
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NPI Number | 1306477328
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Entity Type | Organization
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Legal Business Name | THE BAILEY CENTER, LLC
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 564 N MEMORIAL DR
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City | PRATTVILLE
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State | AL
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Zip | 36067-2132
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Country | US
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Telephone | 334-491-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 74186 TALLASSEE HWY STE B
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City | WETUMPKA
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State | AL
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Zip | 36092-5644
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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 | CO-OWNER
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Name | KELSIE ULRICH
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Credential | M.A., CCC-SLP
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Telephone | 334-478-3570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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