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General NPI Number Information
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NPI Number | 1194797167
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Entity Type | Individual
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Provider Name | DAVID GRANT BAER MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 227 HOSPITAL DR SUITE 1
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City | EVERETT
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State | PA
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Zip | 15537-7019
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Country | US
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Telephone | 412-623-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 227 HOSPITAL DR SUITE 1
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City | EVERETT
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State | PA
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Zip | 15537-7019
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD024184E
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License Number State | PA
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