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General NPI Number Information
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NPI Number | 1326329566
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Entity Type | Individual
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Provider Name | MARY ELAINE BAILEY NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 2210 STATE ROAD 580
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City | CLEARWATER
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State | FL
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Zip | 33763-1126
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Country | US
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Telephone | 727-615-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 615-315-5257
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Fax | 615-692-0547
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN181781
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License Number State | GA
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