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General NPI Number Information
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NPI Number | 1396363511
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Entity Type | Individual
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Provider Name | BAILEY COLE PH.D
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Gender | Male
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 04/04/2025
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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 | 919-234-7706
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Fax | 919-220-0413
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Provider Business Mailing Address
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Address Line | 609 TURMERIC LN
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City | DURHAM
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State | NC
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Zip | 27713-3134
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Country | US
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Telephone | 510-367-8398
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5736
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License Number State | NC
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