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General NPI Number Information
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NPI Number | 1225540685
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Entity Type | Organization
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Legal Business Name | KOMORI AND BAILEY, LLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY STE 1308
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City | SEATTLE
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State | WA
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Zip | 98101-1743
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Country | US
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Telephone | 206-457-5885
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Fax |
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY STE 1308
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City | SEATTLE
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State | WA
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Zip | 98101-1743
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Country | US
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Telephone | 206-457-5885
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Fax |
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Authorized Official
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Title or Position | PARTNER/ELECTROLOGIST
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Name | SUSAN BAILEY
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Credential |
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Telephone | 206-457-5885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State | WA
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