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General NPI Number Information
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NPI Number | 1225278781
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Entity Type | Individual
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Provider Name | JERONE BRUCE BAILEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 262 S INTERSTATE 35 E
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City | DENTON
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State | TX
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Zip | 76205-5839
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Country | US
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Telephone | 940-497-3562
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 S STEMMONS FWY STE 500
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City | LAKE DALLAS
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State | TX
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Zip | 75065-3633
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Country | US
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Telephone | 940-497-3562
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11111
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License Number State | TX
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