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General NPI Number Information
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NPI Number | 1760011480
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Entity Type | Individual
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Provider Name | KANDICE BAILEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE STE 1001
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City | NASHVILLE
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State | TN
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Zip | 37205-2098
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Country | US
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Telephone | 615-298-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 4230 HARDING PIKE STE 1001
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City | NASHVILLE
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State | TN
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Zip | 37205-2098
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Country | US
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Telephone | 601-334-0330
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2024031775
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 75288
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License Number State | TN
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