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General NPI Number Information
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NPI Number | 1255907218
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Entity Type | Individual
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Provider Name | JAMIE LYNN BAILEY DAC, LAC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2737 W 111TH ST
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City | CHICAGO
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State | IL
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Zip | 60655-1833
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Country | US
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Telephone | 312-965-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 10931 S TALMAN AVE
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City | CHICAGO
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State | IL
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Zip | 60655-1817
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Country | US
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Telephone | 312-919-9342
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001561
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License Number State | ID
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