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General NPI Number Information
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NPI Number | 1598078867
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Entity Type | Individual
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Provider Name | STACY LEA BAILEY NP
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Gender | Female
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Dates
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Enumeration Date | 07/15/2010
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 630 S CENTRAL AVE STE 700
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City | MARSHFIELD
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State | WI
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Zip | 54449-4138
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Country | US
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Telephone | 715-358-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 N SAINT JOSEPH AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-1340
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4285
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN131421
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License Number State | AZ
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