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General NPI Number Information
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NPI Number | 1437213337
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Entity Type | Individual
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Provider Name | SHANE MICHAEL BAILEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 479 OXFORD DR STE 104
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-7423
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Country | US
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Telephone | 830-214-0300
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Fax | 830-214-0397
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Provider Business Mailing Address
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Address Line | 479 OXFORD DR STE 104
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-7423
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Country | US
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Telephone | 830-214-0300
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Fax | 830-214-0397
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | M6031
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | M6031
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 166718
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License Number State | MT
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