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General NPI Number Information
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NPI Number | 1437843778
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Entity Type | Individual
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Provider Name | BAILY BLACKBURN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3509 S HURSTBOURNE PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40299-1364
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Country | US
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Telephone | 502-537-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 666 ALLEGHENY RIVER BLVD STE B
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City | OAKMONT
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State | PA
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Zip | 15139-1535
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Country | US
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Telephone | 412-265-4236
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT031272
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009032
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License Number State | KY
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