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General NPI Number Information
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NPI Number | 1043007578
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Entity Type | Individual
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Provider Name | BAILEY SISLER DMD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 48 CANDLER DR
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City | BRUNSWICK
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State | GA
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Zip | 31523-8239
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Country | US
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Telephone | 912-275-7174
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Fax |
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Provider Business Mailing Address
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Address Line | 60 S KENNARD DALE AVE
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City | STEWARTSTOWN
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State | PA
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Zip | 17363-4106
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN123882
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License Number State | GA
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