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General NPI Number Information
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NPI Number | 1013054550
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH FAMILY MEDICAL CARE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 7 CULLIGAN RD
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City | SCOTIA
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State | NY
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Zip | 12302-3121
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Country | US
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Telephone | 518-377-9444
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Fax | 518-377-9032
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Provider Business Mailing Address
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Address Line | 7 CULLIGAN RD
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City | SCOTIA
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State | NY
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Zip | 12302-3121
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Country | US
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Telephone | 518-377-9444
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Fax | 518-377-9032
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. TIMOTHY BARTOS
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Credential |
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Telephone | 518-370-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4620200R
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License Number State | NY
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