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General NPI Number Information
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NPI Number | 1093827321
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Entity Type | Individual
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Provider Name | JOHN V. BAILEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 55 TWIN OAKS AVE SUITE A-1
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City | LEBANON
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State | OR
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Zip | 97355-2864
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Country | US
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Telephone | 541-451-7250
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Fax | 541-451-7254
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Provider Business Mailing Address
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Address Line | 55 TWIN OAKS AVE SUITE A-1
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City | LEBANON
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State | OR
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Zip | 97355-2864
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Country | US
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Telephone | 541-451-7250
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Fax | 541-451-7254
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD26589
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License Number State | OR
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