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General NPI Number Information
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NPI Number | 1861607533
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Entity Type | Individual
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Provider Name | DENISE BAILEY RRT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3880 STOCKTON HILL RD #103-327
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City | KINGMAN
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State | AZ
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Zip | 86409-0595
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Country | US
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Telephone | 928-692-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 STOCKTON HILL RD #103-327
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City | KINGMAN
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State | AZ
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Zip | 86409-0595
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Country | US
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Telephone |
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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 | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number | CRT-8032
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number | RHT00089992
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2471V0106X
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Taxonomy Name | Vascular-Interventional Technology Radiologic Technologist
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License Number | 106513
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License Number State | OR
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