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General NPI Number Information
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NPI Number | 1659682573
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Entity Type | Individual
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Provider Name | LOUIS D BAILEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 621 3RD ST S
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City | GLASGOW
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State | MT
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Zip | 59230-2604
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Country | US
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Telephone | 406-228-3645
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Fax | 406-228-3533
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Provider Business Mailing Address
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Address Line | 20234 DOVES POINTE DR
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City | BROWNSTOWN
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State | MI
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Zip | 48174-8503
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Country | US
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Telephone | 816-519-6502
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 510101883
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License Number State | MI
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