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General NPI Number Information
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NPI Number | 1225028830
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Entity Type | Individual
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Provider Name | G. HOWARD BATHON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 6565 N CHARLES ST SUITE 606
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City | BALTIMORE
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State | MD
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Zip | 21204-6800
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Country | US
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Telephone | 410-583-0160
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Fax | 410-583-0166
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Provider Business Mailing Address
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Address Line | 6565 N CHARLES ST SUITE 606
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City | BALTIMORE
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State | MD
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Zip | 21204-6800
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Country | US
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Telephone | 410-583-0160
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Fax | 410-583-0166
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0025082
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D0025082
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License Number State | MD
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