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General NPI Number Information
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NPI Number | 1396778247
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Entity Type | Individual
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Provider Name | NANCY M BAILEY NP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 100 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2146
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Country | US
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Telephone | 901-322-9080
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Fax | 901-322-9097
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Provider Business Mailing Address
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Address Line | 100 N HUMPHREYS BLVD
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City | MEMPHIS
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State | TN
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Zip | 38120-2146
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Country | US
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Telephone | 901-322-9080
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Fax | 901-322-9097
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5813
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 81-0149
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A01917
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License Number State | AR
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