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General NPI Number Information
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NPI Number | 1548525983
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Entity Type | Individual
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Provider Name | CAREY WINSTON BAILEY M.S
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 4034 BARING ST APT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2268
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Country | US
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Telephone | 267-343-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 136 4TH ST N STE 201
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3889
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Country | US
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Telephone | 727-431-2656
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA105970
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License Number State | FL
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