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General NPI Number Information
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NPI Number | 1386993707
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Entity Type | Individual
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Provider Name | CARLA MARIE BAILEY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 110 GIHON VLG
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City | PARKERSBURG
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State | WV
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Zip | 26101-7109
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Country | US
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Telephone | 304-485-4501
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Fax | 304-485-4504
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Provider Business Mailing Address
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Address Line | 110 GIHON VILLAGE
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City | PARKERSBURG
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State | WV
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Zip | 26101
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Country | US
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Telephone | 304-485-4501
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Fax | 304-485-4504
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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 | RP0007945
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License Number State | WV
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