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General NPI Number Information
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NPI Number | 1003253139
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Entity Type | Organization
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Legal Business Name | BAILEY HEALTHCARE INC
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 2416 SUITE B WESTGATE DR
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City | ALBANY
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State | GA
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Zip | 31707
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Country | US
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Telephone | 229-881-0533
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Fax | 888-273-6926
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Provider Business Mailing Address
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Address Line | 2416B WESTGATE DR
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City | ALBANY
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State | GA
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Zip | 31707
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Country | US
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Telephone | 229-881-0533
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Fax | 888-273-6926
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Authorized Official
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Title or Position | CEO
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Name | ERIC R BAILEY
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Credential |
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Telephone | 229-881-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 464635067A
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License Number State | GA
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