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General NPI Number Information
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NPI Number | 1396778619
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Entity Type | Individual
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Provider Name | LEE A BAGGOTT MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | BURKE LAKEFRONT AIRPORT 1501 N MARGINAL RD. SUITE 162
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City | CLEVELAND
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State | OH
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Zip | 44114
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Country | US
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Telephone | 216-333-7051
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83
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City | GATES MILLS
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State | OH
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Zip | 44040
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Country | US
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Telephone | 216-333-7051
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD12941
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | MD12941
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.099043
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35.099043
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35.099043
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD12941
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License Number State | ME
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Taxonomy #7
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 35.099043
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License Number State | OH
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