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General NPI Number Information
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NPI Number | 1881023760
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Entity Type | Individual
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Provider Name | RACHEL BAILEY KELLEY PMHNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 209 N 4TH ST UPSTAIRS AND REAR ENTRANCE
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City | HIGHLANDS
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State | NC
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Zip | 28741
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Country | US
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Telephone | 828-526-3241
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Fax | 828-482-9019
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Provider Business Mailing Address
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Address Line | 209 N 4TH ST PO BOX 1557
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City | HIGHLANDS
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State | NC
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Zip | 28741
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Country | US
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Telephone | 828-526-3241
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Fax | 828-482-9019
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP3014332
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5010539
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License Number State | NC
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