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General NPI Number Information
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NPI Number | 1114119245
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Entity Type | Organization
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Legal Business Name | PAUL M. BAUBLY, M.D. S. C.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 103 N HAVEN RD FL 2
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City | ELMHURST
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State | IL
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Zip | 60126-2973
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Country | US
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Telephone | 630-595-9988
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Fax | 331-225-2296
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Provider Business Mailing Address
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Address Line | 103 N HAVEN RD FL 2
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City | ELMHURST
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State | IL
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Zip | 60126-2973
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Country | US
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Telephone | 630-595-9988
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Fax | 313-225-2296
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MARGARET HORNSTRA
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Credential |
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Telephone | 630-595-9988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 036082085
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License Number State | IL
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