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General NPI Number Information
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NPI Number | 1295853703
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Entity Type | Organization
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Legal Business Name | HUGH BAILEY MD LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 124 WESTWOODS DR
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City | LIBERTY
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State | MO
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Zip | 64068-1181
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Country | US
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Telephone | 816-781-9695
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Fax | 816-781-9047
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Provider Business Mailing Address
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Address Line | 124 WESTWOODS DR
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City | LIBERTY
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State | MO
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Zip | 64068-1181
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Country | US
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Telephone | 816-781-9695
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Fax | 816-781-9047
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Authorized Official
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Title or Position | MEMBER, LLC
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Name | DR. HUGH ROBERT BAILEY
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Credential | MD
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Telephone | 816-781-9695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R5302
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License Number State | MO
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