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General NPI Number Information
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NPI Number | 1346976834
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Entity Type | Individual
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Provider Name | BAILEY SIEH OTRL
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Gender | Female
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 955 N ADAMS ST STE 1
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City | PAPILLION
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State | NE
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Zip | 68046-3080
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Country | US
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Telephone | 531-600-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 11522 GERTRUDE PLZ APT 308
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City | LA VISTA
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State | NE
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Zip | 68128-7705
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Country | US
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Telephone | 402-213-1381
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2651
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License Number State | NE
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