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General NPI Number Information
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NPI Number | 1134322571
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Entity Type | Individual
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Provider Name | STEPHEN PAUL BAYUK D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 1012 MEDICAL RIDGE RD
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City | CLINTON
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State | SC
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Zip | 29325-4542
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Country | US
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Telephone | 864-833-3852
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Fax | 864-938-0501
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8603
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023025609
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 51874
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H72718
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H0072718
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2839
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License Number State | WV
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