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General NPI Number Information
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NPI Number | 1881705549
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Entity Type | Organization
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Legal Business Name | BAILEY FAMILY PRACTICE PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 109 PROFESSIONAL PLZ # B
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City | HELENA
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State | AR
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Zip | 72342-8954
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Country | US
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Telephone | 870-572-6720
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Fax | 870-572-6876
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Provider Business Mailing Address
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Address Line | 109 PROFESSIONAL PLZ # B
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City | HELENA
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State | AR
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Zip | 72342-8954
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Country | US
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Telephone | 870-572-6720
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Fax | 870-572-6876
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. THOMAS O BAILEY
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Credential | MD
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Telephone | 870-572-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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