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General NPI Number Information
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NPI Number | 1073627857
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Entity Type | Individual
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Provider Name | LINDSAY MARIE BAILEY LPN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14190 NW COUNTY ROAD 12
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City | BRISTOL
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State | FL
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Zip | 32321-3245
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Country | US
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Telephone | 850-643-2415
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Fax | 850-643-5689
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Provider Business Mailing Address
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Address Line | 14190 NW COUNTY ROAD 12
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City | BRISTOL
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State | FL
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Zip | 32321-3245
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Country | US
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Telephone | 850-643-2415
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Fax | 850-643-5689
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5164715
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License Number State | FL
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