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General NPI Number Information
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NPI Number | 1053500462
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Entity Type | Organization
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Legal Business Name | THOMAS A BAILEY MD INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 25 N CANFIELD NILES RD SUITE 160
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2328
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Country | US
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Telephone | 330-792-2976
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Fax | 330-792-8707
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Provider Business Mailing Address
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Address Line | 25 N CANFIELD NILES RD SUITE 160
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-2328
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Country | US
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Telephone | 330-792-2976
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Fax | 330-792-8707
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS ANDREW BAILEY
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Credential | MD
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Telephone | 330-792-2976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35080265B
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License Number State | OH
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