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General NPI Number Information
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NPI Number | 1740755859
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Entity Type | Individual
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Provider Name | BAYLI BRIANNE MCCLARY CLC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 529 E STROOP RD
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City | DAYTON
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State | OH
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Zip | 45429-3245
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Country | US
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Telephone | 544-928-7954
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 SUDBURY ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-1729
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Country | US
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Telephone | 765-517-2235
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | ALPP-353162
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License Number State | OH
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