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General NPI Number Information
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NPI Number | 1407590037
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Entity Type | Individual
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Provider Name | BAYLEE ROLLING APRN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2022
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 15551 NW US HIGHWAY 441 UNIT 40
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City | ALACHUA
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State | FL
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Zip | 32615-9330
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Country | US
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Telephone | 386-518-0102
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Fax | 386-518-0116
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Provider Business Mailing Address
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Address Line | 1702 S JEFFERSON ST
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City | PERRY
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State | FL
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Zip | 32348-5611
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Country | US
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Telephone | 855-577-5437
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Fax | 850-838-2140
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-184483
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11036253
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License Number State | FL
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