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General NPI Number Information
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NPI Number | 1023978749
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Entity Type | Individual
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Provider Name | MELVIN LEE BAILEY LMT
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Gender | Male
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 2046 RICHMOND HWY STE D
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City | STAFFORD
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State | VA
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Zip | 22554-7276
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Country | US
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Telephone | 571-605-8945
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CORIN WAY
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City | STAFFORD
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State | VA
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Zip | 22554-9453
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Country | US
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Telephone | 571-605-8945
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019010486
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License Number State | VA
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