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General NPI Number Information
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NPI Number | 1568175339
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Entity Type | Individual
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Provider Name | BAILEY VAUGHAN BLACKWELL MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 2218 W GRAND AVE
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City | ARTESIA
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State | NM
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Zip | 88210-1624
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Country | US
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Telephone | 575-748-6100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | ARTESIA
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State | NM
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Zip | 88211-0155
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Country | US
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Telephone | 575-748-6100
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT4438
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License Number State | NM
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