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General NPI Number Information
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NPI Number | 1225581630
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Entity Type | Individual
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Provider Name | BAILEY ROLLINS
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 535 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10018-4305
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Country | US
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Telephone | 212-787-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 1ST AVE APT# 3110
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City | NEW YORK
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State | NY
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Zip | 10029-3310
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Country | US
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Telephone | 914-282-3644
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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