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General NPI Number Information
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NPI Number | 1114997657
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Entity Type | Individual
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Provider Name | DANIEL KENT BAILEY DDS
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2817 REILLY ST MCDS NA B ATTN: DENTAC CREDENTIALS
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City | FORT BRAGG
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State | NC
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Zip | 28310-7302
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Country | US
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Telephone | 910-396-5610
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Fax | 910-396-7017
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Provider Business Mailing Address
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Address Line | 2817 REILLY ST MCDS NA B ATTN: DENTAC CREDENTIALS
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City | FORT BRAGG
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State | NC
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Zip | 28310-7302
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Country | US
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Telephone | 910-396-5610
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Fax | 910-396-7017
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 4314
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License Number State | NC
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