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General NPI Number Information
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NPI Number | 1053995407
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Entity Type | Individual
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Provider Name | BAILEY LAUREN HESS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 11700 MERCY BLVD PLAZA D, BLDG 1, STE. A
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City | SAVANNAH
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State | GA
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Zip | 31419-1753
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Country | US
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Telephone | 912-819-0500
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Fax | 912-819-0501
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Provider Business Mailing Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1177769
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10355
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License Number State | GA
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