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General NPI Number Information
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NPI Number | 1164589545
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Entity Type | Organization
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Legal Business Name | BALDWIN MEDICAL CENTER
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 644 N COBB ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2348
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Country | US
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Telephone | 478-452-3700
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Fax | 478-452-3722
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Provider Business Mailing Address
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Address Line | 644 N COBB ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2348
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Country | US
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Telephone | 478-452-3700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAQIB NAZIR
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Credential | M.D.
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Telephone | 478-452-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | GA
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