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General NPI Number Information
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NPI Number | 1790596609
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Entity Type | Individual
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Provider Name | BAILEY STORY
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 7815 NW BEACON SQUARE BLVD STE 101
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City | BOCA RATON
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State | FL
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Zip | 33487-1345
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Country | US
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Telephone | 352-222-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 4828 SAND DOLLAR DR
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City | WESTLAKE
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State | FL
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Zip | 33470-3286
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Country | US
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Telephone | 352-222-9441
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15345
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License Number State | FL
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