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General NPI Number Information
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NPI Number | 1053372581
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Entity Type | Organization
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Legal Business Name | SAM BAXTER AND COMPANY INC
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Dates
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Enumeration Date | 04/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1842 KINGSTON AVE
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City | NORFOLK
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State | VA
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Zip | 23503-2610
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Country | US
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Telephone | 757-480-3553
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Fax | 757-333-6855
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Provider Business Mailing Address
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Address Line | 1842 KINGSTON AVE
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City | NORFOLK
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State | VA
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Zip | 23503-2610
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Country | US
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Telephone | 757-480-3553
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Fax | 757-333-6855
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Authorized Official
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Title or Position | CEO
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Name | MR. SAMUEL L BAXTER
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Credential |
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Telephone | 757-480-3553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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