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General NPI Number Information
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NPI Number | 1326367491
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Entity Type | Organization
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Legal Business Name | RITA MARIE BAILEY
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 3410 PINECHESTER DR 3410 PINECHESTER DR.
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City | HOUSTON
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State | TX
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Zip | 77066-5518
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Country | US
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Telephone | 832-848-7114
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Fax | 832-767-6122
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Provider Business Mailing Address
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Address Line | 3410 PINECHESTER DR 3410 PINECHESTER DR.
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City | HOUSTON
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State | TX
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Zip | 77066-5518
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Country | US
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Telephone | 832-848-7114
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Fax | 832-767-6122
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. RITA MARIE BAILEY
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Credential |
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Telephone | 832-848-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 25265201
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License Number State | TX
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