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General NPI Number Information
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NPI Number | 1295710291
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Entity Type | Individual
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Provider Name | NEAL ARTHUR BAILLARGEON MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 11 ELM STREET
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City | PHILMONT
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State | NY
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Zip | 12565
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Country | US
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Telephone | 518-672-5401
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Fax | 518-672-5403
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Provider Business Mailing Address
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Address Line | PO BOX 766 90 BROAD ST
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City | KINDERHOOK
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State | NY
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Zip | 12106-0766
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Country | US
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Telephone | 518-758-7252
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Fax | 518-758-1963
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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 | 161495
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License Number State | NY
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