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General NPI Number Information
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NPI Number | 1528792728
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Entity Type | Individual
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Provider Name | RACHEL MARIE BAILEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 2061 HIGHWAY 52
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City | MONCKS CORNER
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State | SC
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Zip | 29461-5017
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Country | US
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Telephone | 843-761-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 BRITISH DR
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City | MONCKS CORNER
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State | SC
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Zip | 29461-7131
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Country | US
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Telephone | 843-830-8636
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26265
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License Number State | SC
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