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General NPI Number Information
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NPI Number | 1720560196
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Entity Type | Individual
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Provider Name | BAILEIGH COGAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2018
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5376
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Country | US
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Telephone | 304-424-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 MURDOCH AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-3248
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Country | US
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Telephone | 304-485-8040
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2763
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License Number State | WV
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