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General NPI Number Information
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NPI Number | 1649519448
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER RAVI BAILEY
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Gender | Male
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 100 NORTH ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-271-6301
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Fax | 570-271-5976
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Provider Business Mailing Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-4903
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Country | US
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Telephone | 570-271-6301
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Fax | 570-271-5976
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D82377
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD487823
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License Number State | PA
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