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NPI 1215984208

NPI 1215984208 : BILL J BAILEY DC : RENO, NV

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General NPI Number Information
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    NPI Number           |    1215984208
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    Entity Type          |    Individual 
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    Provider Name        |    BILL J BAILEY DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/27/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6630 S MCCARRAN BLVD SUITE 2
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-6136
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    Country              |    US
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    Telephone            |    775-829-0177
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    Fax                  |    775-829-7741
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Provider Business Mailing Address
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    Address Line         |    6630 S MCCARRAN BLVD SUITE 2
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89509-6136
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    Country              |    US
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    Telephone            |    775-829-0177
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    Fax                  |    775-829-7741
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    B120
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    License Number State |    NV
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