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General NPI Number Information
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NPI Number | 1912671181
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Entity Type | Organization
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Legal Business Name | BAILEY ACUPUNCTURE LTD
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 9031 W 151ST ST STE 102
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City | ORLAND PARK
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State | IL
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Zip | 60462-6562
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Country | US
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Telephone | 312-965-6234
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Fax |
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Provider Business Mailing Address
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Address Line | 10931 S TALMAN AVE
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City | CHICAGO
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State | IL
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Zip | 60655-1817
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Country | US
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Telephone | 312-919-9342
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE BAILEY
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Credential | DAC
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Telephone | 312-965-6234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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