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NPI 1851471486

NPI 1851471486 : JASON S. BAILEY MD : GAINESVILLE, GA

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General NPI Number Information
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    NPI Number           |    1851471486
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    Entity Type          |    Individual 
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    Provider Name        |    JASON S. BAILEY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2006
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    1315 JESSE JEWELL PKWY NE STE 201 
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30501-3822
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    Country              |    US
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    Telephone            |    770-219-9300
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    Fax                  |    770-219-4965
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Provider Business Mailing Address
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    Address Line         |    1315 JESSE JEWELL PKWY NE 
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    City                 |    GAINESVILLE
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    State                |    GA
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    Zip                  |    30501-3811
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    Country              |    US
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    Telephone            |    770-219-9300
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    Fax                  |    770-219-4965
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    051619
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    051619
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    51619
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    License Number State |    GA
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