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General NPI Number Information
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NPI Number | 1710857347
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Entity Type | Individual
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Provider Name | BAILEY MAIATO
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Gender | Female
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Dates
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Enumeration Date | 11/08/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 133 BROOKLINE AVE
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City | BOSTON
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State | MA
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Zip | 02215-3904
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Country | US
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Telephone | 617-421-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 94 GREEN ST APT 1
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City | CHARLESTOWN
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State | MA
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Zip | 02129-2534
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Country | US
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Telephone | 774-487-0300
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2371627
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License Number State | MA
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