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General NPI Number Information
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NPI Number | 1174614424
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Entity Type | Individual
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Provider Name | RHONDA M BAYLESS P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 280 N FAIRMONT AVE
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City | MORRISTOWN
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State | TN
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Zip | 37814-3768
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Country | US
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Telephone | 423-585-5023
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Fax | 423-587-4553
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Provider Business Mailing Address
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Address Line | 252 LONE MTN BOAT DOCK LN
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City | TAZEWELL
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State | TN
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Zip | 37879-6168
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Country | US
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Telephone | 423-585-5023
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Fax | 423-587-4553
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6160
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License Number State | TN
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