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General NPI Number Information
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NPI Number | 1477176519
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Entity Type | Individual
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Provider Name | JOSHUA DANIEL BAILEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2020
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Last Update Date | 05/23/2020
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Provider Practice Location Address
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Address Line | 3500 SE MARICAMP RD
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City | OCALA
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State | FL
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Zip | 34471-6248
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Country | US
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Telephone | 352-694-4193
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Fax |
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Provider Business Mailing Address
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Address Line | 3749 SE 60TH STREET
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City | OCALA
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State | FL
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Zip | 34480
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Country | US
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Telephone | 412-592-1527
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS5441
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License Number State | FL
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