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General NPI Number Information
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NPI Number | 1417095779
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS BAIRD JR. DC
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 411 TRAFFIC WAY SUITE F
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 805-481-0754
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Fax | 805-481-0756
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | ARROYO GRANDE
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State | CA
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Zip | 93421
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Country | US
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Telephone | 805-481-0754
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Fax | 805-481-0756
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15668
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License Number State | CA
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