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General NPI Number Information
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NPI Number | 1295915924
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Entity Type | Organization
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Legal Business Name | BAILEY CARE HOMES, INC.
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1659 W 81ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90047-2866
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Country | US
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Telephone | 323-971-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 23120 ALICIA PKWY STE 200
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City | MISSION VIEJO
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State | CA
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Zip | 92692-1212
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Country | US
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Telephone | 310-293-8722
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAWN BAILEY
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Credential |
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Telephone | 310-293-8722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 550000182
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License Number State | CA
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