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General NPI Number Information
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NPI Number | 1790643542
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Entity Type | Individual
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Provider Name | BAILEE SEARCY
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Gender |
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 6700 W OUTER DR
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City | DETROIT
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State | MI
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Zip | 48235-2724
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Country | US
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Telephone | 313-836-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 674 KINGS HWY
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City | LINCOLN PARK
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State | MI
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Zip | 48146-4608
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Country | US
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Telephone | 313-287-7076
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MI
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