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General NPI Number Information
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NPI Number | 1366671968
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Entity Type | Individual
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Provider Name | CANDICE HOPE BAILEY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FWY STE 101
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City | CYPRESS
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State | TX
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Zip | 77429-5884
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Country | US
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Telephone | 409-651-6054
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 CACTUS BLOOM LN
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City | KATY
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State | TX
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Zip | 77494-3035
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Country | US
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Telephone | 409-651-6054
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46281
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License Number State | TX
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