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General NPI Number Information
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NPI Number | 1568212181
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Entity Type | Individual
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Provider Name | BAILEY RAE KARGO OD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 3045 HIGHWAY 51 S
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City | SENATOBIA
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State | MS
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Zip | 38668-6215
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Country | US
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Telephone | 662-562-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 302 RAILROAD ST
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City | WATER VALLEY
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State | MS
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Zip | 38965-3032
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Country | US
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Telephone | 662-473-2181
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1115
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License Number State | MS
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