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General NPI Number Information
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NPI Number | 1316439755
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Entity Type | Organization
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Legal Business Name | BAILEY ASSOCIATES INC
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 9308 EMERALD GROVE AVE
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City | LAKESIDE
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State | CA
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Zip | 92040-3718
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Country | US
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Telephone | 619-561-8626
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Fax | 619-561-6561
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Provider Business Mailing Address
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Address Line | 9308 EMERALD GROVE AVE
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City | LAKESIDE
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State | CA
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Zip | 92040-3718
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Country | US
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Telephone | 619-561-8626
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Fax | 619-561-6561
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL LLOYD BAILEY
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Credential |
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Telephone | 619-561-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 374600038
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License Number State | CA
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