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General NPI Number Information
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NPI Number | 1073877163
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Entity Type | Organization
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Legal Business Name | THE BAIR FOUNDATION
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 6705 E 81ST ST STE 123
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City | TULSA
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State | OK
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Zip | 74133-4152
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Country | US
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Telephone | 918-727-2555
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Fax | 918-298-3869
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Provider Business Mailing Address
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Address Line | 241 HIGH ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-1116
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Country | US
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Telephone | 724-946-8711
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Fax | 724-946-3249
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE SUPERVISOR
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Name | SUE RICKARD
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Credential |
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Telephone | 724-946-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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