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General NPI Number Information
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NPI Number | 1356411698
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Entity Type | Organization
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Legal Business Name | BAYLON & BAYLON PLLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 11943 CENTRAL AVE NE
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City | BLAINE
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State | MN
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Zip | 55434
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Country | US
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Telephone | 763-757-2914
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Fax | 763-757-9867
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Provider Business Mailing Address
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Address Line | 11943 CENTRAL AVE NE
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City | BLAINE
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State | MN
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Zip | 55434
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Country | US
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Telephone | 763-757-2914
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Fax | 763-757-9867
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Authorized Official
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Title or Position | DR/OWNER
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Name | DR. CHRISTINE D BAYLON
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Credential | D.D.S.
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Telephone | 763-757-2914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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