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General NPI Number Information
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NPI Number | 1104228162
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Entity Type | Organization
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Legal Business Name | REGINALD C BAPTISTE, MD PA
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 7000 N MO PAC EXPY SUITE 320
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City | AUSTIN
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State | TX
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Zip | 78731-3027
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Country | US
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Telephone | 512-583-0146
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Fax | 512-583-0147
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Provider Business Mailing Address
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Address Line | 7000 N MO PAC EXPY SUITE 320
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City | AUSTIN
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State | TX
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Zip | 78731-3027
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Country | US
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Telephone | 512-583-0146
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Fax | 512-583-0147
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Authorized Official
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Title or Position | PRESIDENT
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Name | REGINALD C BAPTISTE
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Credential | MD
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Telephone | 512-653-2268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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