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General NPI Number Information
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NPI Number | 1417991993
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Entity Type | Individual
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Provider Name | CHRISTOPHER WALLACE BAIRD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 300 LONGWOOD AVE FA-144
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City | BOSTON
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State | MA
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Zip | 02115-5724
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Country | US
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Telephone | 617-355-7932
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Fax | 617-730-0214
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Provider Business Mailing Address
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Address Line | 300 LONGWOOD AVE FA-144
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City | BOSTON
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State | MA
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Zip | 02115-5724
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Country | US
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Telephone | 617-355-7932
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Fax | 617-730-0214
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 224398
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 224398
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 2006-01140
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | 2006-01140
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD417984
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | MD417984
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License Number State | PA
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