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General NPI Number Information
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NPI Number | 1013908714
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Entity Type | Individual
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Provider Name | SEAN B BAILEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1001 S KIRKWOOD RD STE 320
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City | KIRKWOOD
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State | MO
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Zip | 63122-7254
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Country | US
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Telephone | 314-965-9184
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14369
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City | SAINT LOUIS
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State | MO
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Zip | 63178-4369
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Country | US
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Telephone | 314-729-0077
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 100682
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License Number State | MO
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