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General NPI Number Information
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NPI Number | 1174049290
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Entity Type | Organization
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Legal Business Name | BAILEY FAMILY CARE, INC.
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 1839 HEALTH CARE DR
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City | TRINITY
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State | FL
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Zip | 34655-5363
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Country | US
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Telephone | 727-312-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 1839 HEALTH CARE DR
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City | TRINITY
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State | FL
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Zip | 34655-5363
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Country | US
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Telephone | 727-312-4445
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Fax | 727-312-4643
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Authorized Official
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Title or Position | PHYSICIAN
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Name | TIMOTHY S. BAILEY
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Credential | DO
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Telephone | 727-239-2679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS7784
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License Number State | FL
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