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General NPI Number Information
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NPI Number | 1447786116
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Entity Type | Organization
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Legal Business Name | NORMAN J. BAILEY SR DC
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 820 SYCAMORE DR
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4272
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Country | US
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Telephone | 215-355-2455
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Fax | 215-355-2737
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Provider Business Mailing Address
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Address Line | 820 SYCAMORE DR
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City | SOUTHAMPTON
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State | PA
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Zip | 18966-4272
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Country | US
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Telephone | 215-355-2455
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Fax | 215-355-2737
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARY ANN YOUNG
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Credential |
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Telephone | 215-355-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC001116L
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License Number State | PA
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