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General NPI Number Information
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NPI Number | 1144246323
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Entity Type | Organization
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Legal Business Name | PHILIP BAI, M.D. LLC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 401 HAMBURG TPKE SUITE 101
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City | WAYNE
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State | NJ
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Zip | 07470-2154
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Country | US
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Telephone | 973-925-4601
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Fax | 973-925-4604
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Provider Business Mailing Address
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Address Line | 401 HAMBURG TPKE SUITE 101
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City | WAYNE
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State | NJ
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Zip | 07470-2154
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Country | US
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Telephone | 973-925-4601
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Fax | 973-925-4604
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | PHILIP Y. BAI
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Credential | M.D.
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Telephone | 973-925-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA056388
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License Number State | NJ
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