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General NPI Number Information
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NPI Number | 1326463910
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Entity Type | Organization
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Legal Business Name | THE BAIR FOUNDATION
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 2393 ALUMNI DR SUITE 205
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City | LEXINGTON
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State | KY
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Zip | 40517-4285
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Country | US
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Telephone | 859-519-3273
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Fax | 859-519-3274
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Provider Business Mailing Address
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Address Line | 241 HIGH ST
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City | NEW WILMINGTON
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State | PA
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Zip | 16142-1116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SUSAN J MIKLOS
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Credential |
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Telephone | 724-946-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | 500632
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License Number State | KY
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