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General NPI Number Information
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NPI Number | 1336730886
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Entity Type | Individual
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Provider Name | JENNIFER BAILEY PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1590
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Country | US
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Telephone | 410-532-5075
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21210-2404
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Country | US
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Telephone | 410-532-5075
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 18750
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License Number State | MD
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