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General NPI Number Information
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NPI Number | 1568552842
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Entity Type | Individual
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Provider Name | HOYIT BARRY BAILEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3219 BURKE RD SUITE A
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City | PASADENA
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State | TX
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Zip | 77504-1826
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Country | US
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Telephone | 713-943-7903
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Fax |
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Provider Business Mailing Address
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Address Line | 4411 INDIAN SUNRISE CT
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City | HOUSTON
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State | TX
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Zip | 77059-5532
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Country | US
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Telephone | 281-286-0604
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12929
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License Number State | TX
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