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General NPI Number Information
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NPI Number | 1205100989
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Entity Type | Organization
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Legal Business Name | ROSALIE L. BAIR, M.D., P. A.
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 5612 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3532
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Country | US
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Telephone | 301-571-4334
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Fax | 301-571-4315
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Provider Business Mailing Address
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Address Line | 5612 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3532
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Country | US
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Telephone | 301-571-4334
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Fax | 301-571-4315
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ROSALIE LYNN BAIR
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Credential | M.D.
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Telephone | 301-571-4334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | D0047816
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License Number State | MD
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