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General NPI Number Information
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NPI Number | 1316173834
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Entity Type | Organization
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Legal Business Name | THE PADDY JIM BAGGOT MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 1535 W MERCED AVE SUITE 304
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City | WEST COVINA
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State | CA
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Zip | 91790-3404
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Country | US
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Telephone | 626-960-7777
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Fax | 626-338-3975
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Provider Business Mailing Address
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Address Line | 1535 W MERCED AVE SUITE 304
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City | WEST COVINA
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State | CA
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Zip | 91790-3404
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Country | US
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Telephone | 626-960-7777
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Fax | 626-338-3975
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK JAMES BAGGOT
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Credential | M.D.
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Telephone | 626-960-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G84916
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License Number State | CA
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