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General NPI Number Information
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NPI Number | 1629170089
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Entity Type | Individual
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Provider Name | DEBORAH A BAILEY FNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 720 GENERAL MOTORS RD
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City | MILFORD
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State | MI
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Zip | 48381-2220
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Country | US
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Telephone | 248-684-1775
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Fax | 248-684-7072
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Provider Business Mailing Address
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Address Line | 720 GENERAL MOTORS RD
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City | MILFORD
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State | MI
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Zip | 48381-2220
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Country | US
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Telephone | 248-889-1776
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Fax | 248-684-7072
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704126691
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License Number State | MI
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