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General NPI Number Information
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NPI Number | 1366744203
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Entity Type | Individual
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Provider Name | JAMES ERIC BAILEY
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Gender | Male
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 6208 FAYETTEVILLE RD STE 106
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City | DURHAM
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State | NC
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Zip | 27713-6286
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Country | US
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Telephone | 919-330-4147
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Fax | 919-330-4142
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Provider Business Mailing Address
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Address Line | 696 N SPENCE AVE STE A
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City | GOLDSBORO
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State | NC
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Zip | 27534-4354
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Country | US
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Telephone | 919-330-4147
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Fax | 919-330-4142
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11401
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License Number State | NC
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