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General NPI Number Information
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NPI Number | 1902710098
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Entity Type | Individual
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Provider Name | BAILEY COLE HARRIS
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Gender | Male
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 10087 TERRA LOMA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-3202
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Country | US
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Telephone | 916-848-2671
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Fax |
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Provider Business Mailing Address
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Address Line | 8808 SAWTELLE WAY APT D
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City | SACRAMENTO
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State | CA
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Zip | 95826-2164
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Country | US
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Telephone | 951-706-5587
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN744095
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License Number State | CA
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