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General NPI Number Information
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NPI Number | 1174681530
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Entity Type | Individual
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Provider Name | PAUL MICHAEL BAUBLY MD
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 103 N HAVEN RD
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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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
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City | ELMHURST
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State | IL
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Zip | 60126-2923
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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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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036082085
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License Number State | IL
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