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General NPI Number Information
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NPI Number | 1447760129
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Entity Type | Individual
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Provider Name | KIMBERLY BAILEY AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1200 MEMORIAL DR
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City | DALTON
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State | GA
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Zip | 30720-2529
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Country | US
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Telephone | 706-272-6000
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Fax | 706-217-2040
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Provider Business Mailing Address
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Address Line | 1200 MEMORIAL DR
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City | DALTON
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State | GA
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Zip | 30720-2529
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Country | US
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Telephone | 706-272-6000
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Fax | 706-217-2040
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN203734
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN-NP203734
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License Number State | GA
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