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General NPI Number Information
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NPI Number | 1194882563
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Entity Type | Individual
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Provider Name | WILLIAM BAILLIE HOSFIELD M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 5200 WILLSON RD STE 150
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City | EDINA
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State | MN
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Zip | 55424-1300
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Country | US
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Telephone | 952-746-2450
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Fax | 952-476-2451
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Provider Business Mailing Address
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Address Line | 5200 WILLSON RD STE 150
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City | EDINA
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State | MN
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Zip | 55424-1300
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Country | US
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Telephone | 952-746-2450
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Fax | 952-746-2451
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 18179
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License Number State | MN
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