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General NPI Number Information
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NPI Number | 1407772437
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Entity Type | Individual
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Provider Name | DR. BRIDGET BAILEY
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-451-1658
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Fax |
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Provider Business Mailing Address
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Address Line | 1517 WINFIELD AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3045
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Country | US
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Telephone | 217-521-3939
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DEN.00206725
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License Number State | CO
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