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General NPI Number Information
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NPI Number | 1942926894
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Entity Type | Individual
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Provider Name | JAMES LEE BAYLESS PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1201 SOMERVILLE RD SE STE 1
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City | DECATUR
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State | AL
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Zip | 35601-4340
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Country | US
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Telephone | 256-265-5864
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Fax |
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Provider Business Mailing Address
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Address Line | 101 EULA WAY
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City | HUNTSVILLE
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State | AL
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Zip | 35811-9047
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Country | US
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Telephone | 210-319-8154
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-12582
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License Number State | NC
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