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General NPI Number Information
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NPI Number | 1447345798
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Entity Type | Individual
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Provider Name | WAEL MOHAMAD BAYDOUN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 1185 US HIGHWAY 23 N
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City | ALPENA
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State | MI
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Zip | 49707-8018
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Country | US
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Telephone | 989-358-3946
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Fax | 989-358-3724
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Provider Business Mailing Address
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Address Line | 1185 US HIGHWAY 23 N
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City | ALPENA
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State | MI
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Zip | 49707-8018
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Country | US
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Telephone | 989-358-3946
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Fax | 989-358-3724
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901019342
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License Number State | MI
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