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NPI Code Detail

MEDICARE: RACHEL BAILEY RD

MEDICARE: RACHEL BAILEY RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86291542MD

General Provider Information

NPI Number : 1225818933
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BAILEY RD
Provider Business Mailing Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 563-723-1724
Fax Number :
Provider Business Practice Location Address
First Line : 8865 STANFORD BLVD STE 202
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-5422
Country : US
Telephone Number : 563-723-1724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 07/23/2024

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Directions to “ RACHEL BAILEY RD” Practice Location

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