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General NPI Number Information
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NPI Number | 1851351472
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Entity Type | Individual
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Provider Name | KENNETH M. BAILEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 12210 BRUCE B DOWNS BLVD
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City | TAMPA
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State | FL
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Zip | 33612-9211
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Country | US
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Telephone | 865-985-7186
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Fax |
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Provider Business Mailing Address
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Address Line | 12210 BRUCE B DOWNS BLVD
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City | TAMPA
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State | FL
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Zip | 33612-9211
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Country | US
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Telephone | 865-985-7186
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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 | 043420
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME94058
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 056261
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 36113410
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01060500A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 39378
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 224194
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 200500649
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07974400
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License Number State | NJ
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35086092
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License Number State | OH
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD426019
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License Number State | PA
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Taxonomy #12
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101238049
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License Number State | VA
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Taxonomy #13
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21414
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License Number State | WV
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