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General NPI Number Information
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NPI Number | 1497464416
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Entity Type | Individual
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Provider Name | BAILEY REBECCA DELGADO RBT
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 828 WAPPOO RD
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City | CHARLESTON
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State | SC
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Zip | 29407-5865
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Country | US
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Telephone | 847-084-3297
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 EVA ST
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City | NORTH CHARLESTON
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State | SC
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Zip | 29418-5806
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Country | US
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Telephone | 843-834-9590
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | SC
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