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General NPI Number Information
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NPI Number | 1881281251
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Entity Type | Individual
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Provider Name | SHAUN MICHAEL BAILEY
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Gender | Male
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 1020 COUNTRY CREEK DR
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City | FINDLAY
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State | OH
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Zip | 45840-6448
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Country | US
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Telephone | 419-423-3310
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 FAIRVIEW DR
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City | FINDLAY
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State | OH
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Zip | 45840-6412
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Country | US
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Telephone | 419-423-1610
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 3200566
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License Number State | OH
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