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General NPI Number Information
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NPI Number | 1598457764
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Entity Type | Individual
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Provider Name | CHRISTY JADE BAILEY CERT. HAIR LOSS SPEC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 7537 MENTOR AVE STE 207B
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City | MENTOR
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State | OH
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Zip | 44060-5464
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Country | US
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Telephone | 260-639-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 260TH E 312TH UNIT 5223
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City | WILLOWICK
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State | OH
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Zip | 44095
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Country | US
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Telephone | 440-703-1048
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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