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NPI 1457879314

NPI 1457879314 : JULIE A BAILEY NP-C : WINDHAM, ME

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General NPI Number Information
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    NPI Number           |    1457879314
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    Entity Type          |    Individual 
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    Provider Name        |    JULIE A BAILEY NP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/31/2017
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    944 ROOSEVELT TRL STE 14 
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    City                 |    WINDHAM
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    State                |    ME
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    Zip                  |    04062-5699
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    Country              |    US
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    Telephone            |    207-383-2146
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    Fax                  |    207-599-2701
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Provider Business Mailing Address
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    Address Line         |    944 ROOSEVELT TRL STE 14 
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    City                 |    WINDHAM
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    State                |    ME
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    Zip                  |    04062-5699
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    Country              |    US
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    Telephone            |    207-383-2146
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    Fax                  |    207-599-2701
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    ARNP9268876
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    CNP231607
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    License Number State |    ME
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