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General NPI Number Information
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NPI Number | 1003171000
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Entity Type | Individual
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Provider Name | PAULINA BAJSAROWICZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 425 ROBINSON ST
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City | BINGHAMTON
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State | NY
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Zip | 13904-1735
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Country | US
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Telephone | 607-773-4061
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Fax | 607-773-4656
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Provider Business Mailing Address
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Address Line | 1025 REYNOLDS RD APT L8
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City | JOHNSON CITY
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State | NY
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Zip | 13790-1372
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Country | US
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Telephone | 607-744-7802
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | P83460
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License Number State | NY
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