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General NPI Number Information
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NPI Number | 1932462850
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Entity Type | Organization
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Legal Business Name | BAILEY WELLNESS GROUP
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 262 S I 35 E STE 120
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City | DENTON
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State | TX
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Zip | 76205-5839
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Country | US
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Telephone | 940-497-3562
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Fax |
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Provider Business Mailing Address
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Address Line | 262 S INTERSTATE 35 E
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City | DENTON
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State | TX
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Zip | 76205-5839
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Country | US
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Telephone | 940-497-3562
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JERONE BAILEY
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Credential | D.C.
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Telephone | 940-497-3562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11111
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License Number State | TX
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