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General NPI Number Information
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NPI Number | 1477829810
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Entity Type | Individual
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Provider Name | CASSANDRA LYNN BAILEY MB BCH BAO
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Gender | Female
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 3188 BELLEVUE AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2369
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Country | US
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Telephone | 513-558-4194
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Fax | 513-558-0995
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Provider Business Mailing Address
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Address Line | PO BOX 636256
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City | CINCINNATI
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State | OH
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Zip | 45263-6256
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Country | US
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Telephone | 513-585-5502
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Fax | 513-585-5511
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57.021558
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 35.128086
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.128086
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License Number State | OH
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