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General NPI Number Information
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NPI Number | 1952881559
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Entity Type | Individual
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Provider Name | TAYLOR BAILEY
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Gender | Female
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 115 COMMONS WAY
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City | OXFORD
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State | AL
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Zip | 36203-3483
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Country | US
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Telephone | 256-835-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 44164 US HIGHWAY 78 UNIT 202
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City | LINCOLN
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State | AL
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Zip | 35096
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20554
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License Number State | AL
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