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General NPI Number Information
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NPI Number | 1972317287
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Entity Type | Individual
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Provider Name | MS. BAILEY NIXON
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 4710 TIMBER TRAIL DR
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City | MIDDLETOWN
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State | OH
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Zip | 45044-5399
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Country | US
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Telephone | 513-423-9496
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Fax |
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Provider Business Mailing Address
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Address Line | 424 DOVERDALE DR
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City | MONROE
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State | OH
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Zip | 45050-1056
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Country | US
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Telephone | 513-377-5641
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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