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General NPI Number Information
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NPI Number | 1578718532
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Entity Type | Individual
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Provider Name | PAUL BAIL PHD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 2 BEVERLY DR
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City | STERLING
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State | MA
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Zip | 01564-2150
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Country | US
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Telephone | 978-821-4430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7551
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City | FITCHBURG
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State | MA
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Zip | 01420-0023
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Country | US
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Telephone | 978-821-4430
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3925
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License Number State | MA
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