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NPI 1336974310

NPI 1336974310 : DANYA BAILEY : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1336974310
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    Entity Type          |    Individual 
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    Provider Name        |    DANYA BAILEY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2024
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    Last Update Date     |    09/07/2024
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Provider Practice Location Address
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    Address Line         |    3250 WESTCHESTER AVE STE 202 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10461-4580
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    Country              |    US
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    Telephone            |    917-407-2297
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4080 SETON AVE APT 1 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10466-2385
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    Country              |    US
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    Telephone            |    347-493-4009
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    124042
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    License Number State |    NY
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