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General NPI Number Information
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NPI Number | 1144711599
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Entity Type | Organization
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Legal Business Name | B BARON INC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 124 LAFAYETTE PL
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City | WOODMERE
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State | NY
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Zip | 11598
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Country | US
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Telephone | 516-732-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 124 LAFAYETTE PL
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City | WOODMERE
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State | NY
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Zip | 11598-2140
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Country | US
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Telephone | 516-732-1950
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BENJAMIN S BARON
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Credential | OTR/L
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Telephone | 516-732-1950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 015495
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License Number State | NY
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