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General NPI Number Information
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NPI Number | 1184984825
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Entity Type | Individual
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Provider Name | BARBARA LEE BAILEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/28/2012
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Last Update Date | 05/28/2012
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Provider Practice Location Address
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Address Line | 129 BROAD ST
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-1707
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Country | US
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Telephone | 805-801-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 2103 HARRISON AVE NW #2-876
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City | OLYMPIA
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State | WA
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Zip | 98502-2636
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Country | US
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Telephone | 805-801-8830
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G61082
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License Number State | CA
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