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General NPI Number Information
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NPI Number | 1700815677
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Entity Type | Individual
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Provider Name | SALLY J BAILEY MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 4940 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-2735
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Country | US
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Telephone | 410-550-5568
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Fax | 410-550-0470
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Provider Business Mailing Address
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Address Line | 6201 GREENLEIGH AVE
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City | BALTIMORE
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State | MD
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Zip | 21220-2004
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Country | US
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Telephone | 410-933-6423
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Fax | 410-500-4266
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 0101239697
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 036032
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | D0102827
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License Number State | MD
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