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General NPI Number Information
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NPI Number | 1396912911
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Entity Type | Individual
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Provider Name | SAMUEL STEVEN BAILEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 20201 N SCOTTSDALE HEALTHCARE DR STE 230
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4134
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Country | US
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Telephone | 480-684-1360
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Fax | 480-273-8695
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Provider Business Mailing Address
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Address Line | 20201 N SCOTTSDALE HEALTHCARE DR STE 230
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4134
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Country | US
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Telephone | 480-684-1360
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Fax | 480-273-8695
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 41765
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License Number State | IL
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