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General NPI Number Information
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NPI Number | 1386089282
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Entity Type | Individual
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Provider Name | JOHN LOGAN BAILEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2700 HOSPITAL DR
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City | NORTHPORT
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State | AL
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Zip | 35476-3360
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Country | US
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Telephone | 205-333-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 5413 10TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-4011
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Country | US
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Telephone | 256-490-4739
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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 | 19292
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License Number State | AL
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