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General NPI Number Information
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NPI Number | 1003008350
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Entity Type | Organization
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Legal Business Name | JAMES BAIRD DPM INC
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 1410 S BARRINGTON RD
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City | BARRINGTON
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State | IL
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Zip | 60010-7400
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Country | US
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Telephone | 847-381-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 S BARRINGTON RD
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City | BARRINGTON
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State | IL
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Zip | 60010-7400
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Country | US
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Telephone | 847-381-5011
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | JAMES BAIRD
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Credential |
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Telephone | 847-381-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016005120
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License Number State | IL
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