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General NPI Number Information
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NPI Number | 1316643653
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Entity Type | Individual
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Provider Name | ABBY ALLISON BAILIFF NP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 1327 W FAIRFIELD RD
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City | HIGH POINT
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State | NC
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Zip | 27263-1615
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Country | US
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Telephone | 336-832-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3815 KENNEDY RD
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City | THOMASVILLE
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State | NC
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Zip | 27360-7302
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Country | US
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Telephone | 336-906-9205
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 301714
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AG05230072
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License Number State | NC
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