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General NPI Number Information
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NPI Number | 1730577941
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Entity Type | Organization
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Legal Business Name | BAILEY CHIROPRACTIC & ACUPUNCTURE
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 04/10/2018
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Provider Practice Location Address
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Address Line | 1182 GRAVES AVE STE C-3
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City | ESTES PARK
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State | CO
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Zip | 80517-7742
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Country | US
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Telephone | 970-301-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 1182 GRAVES AVE STE C-3
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City | ESTES PARK
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State | CO
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Zip | 80517-7742
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Country | US
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Telephone | 970-301-0582
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. TRACY CELIA BAILEY
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Credential | DC
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Telephone | 970-301-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007111
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License Number State | CO
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