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General NPI Number Information
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NPI Number | 1265418230
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Entity Type | Organization
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Legal Business Name | BAILEY REHABILITATION SERVICES,INC
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 3300 BAILEY ST NW SUITE 104
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City | MASSILLON
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State | OH
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Zip | 44646-3613
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Country | US
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Telephone | 330-837-3823
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Fax | 330-837-8313
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Provider Business Mailing Address
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Address Line | 3300 BAILEY ST NW SUITE 104
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City | MASSILLON
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State | OH
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Zip | 44646-3613
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Country | US
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Telephone | 330-837-3823
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Fax | 330-837-8313
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. WENDY S BARNHART
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Credential |
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Telephone | 330-837-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 34003712
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License Number State | OH
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