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General NPI Number Information
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NPI Number | 1477548600
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Entity Type | Individual
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Provider Name | TANYA BAILEY CNM
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Gender | Female
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 101 HOLBROOK STREET OB-GYN ASSOCIATES
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City | DANVILLE
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State | VA
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Zip | 24541
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Country | US
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Telephone | 434-792-7765
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Fax | 434-793-4061
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Provider Business Mailing Address
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Address Line | 101 HOLBROOK STREET OB-GYN ASSOCIATES
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City | DANVILLE
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State | VA
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Zip | 24541
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Country | US
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Telephone | 434-792-7765
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Fax | 434-793-4061
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 10666CNM293
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NC293 ACNM10666
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 0024180078
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License Number State | VA
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