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Individual
JAMES L BAILEN
Active
Individual
JAMES L BAILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01029149A
IN
208800000X
Urology Physician
16906
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100362060
—
IN
01
—
340004941
RR MCR
KY
01
—
340008066
RR MCR
IN
05
—
64169063
—
KY
Enumeration date
10/04/2005
Last updated
01/17/2022
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