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General NPI Number Information
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NPI Number | 1366858938
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Entity Type | Organization
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Legal Business Name | BAXTER HEALTHCARE CORPORATION
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 1618 SHADY HOLW
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-2354
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Country | US
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Telephone | 830-226-5015
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Fax |
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Provider Business Mailing Address
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Address Line | 1618 SHADY HOLW
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-2354
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Country | US
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Telephone | 830-226-5015
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Fax |
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Authorized Official
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Title or Position | SR MEDICAL SCIENCE LIAISON
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Name | DR. EDWARD MARK ZASTAWNY
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Credential | PHARM.D.
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Telephone | 830-226-5015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number |
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License Number State | TX
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