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General NPI Number Information
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NPI Number | 1750034831
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Entity Type | Individual
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Provider Name | STACEY BETH BAILEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2022
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 351 VALLEY HEALTH WAY STE 300
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City | FRONT ROYAL
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State | VA
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Zip | 22630-6480
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Country | US
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Telephone | 540-631-3700
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Fax | 540-635-1673
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Provider Business Mailing Address
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Address Line | 36 LITTLE LONG MOUNTAIN RD
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City | HUNTLY
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State | VA
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Zip | 22640-3116
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Country | US
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Telephone | 540-635-9296
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024182373
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License Number State | VA
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