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General NPI Number Information
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NPI Number | 1457470346
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Entity Type | Individual
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Provider Name | ROBERT EDWARD BAUTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 03/15/2009
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Provider Practice Location Address
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Address Line | 455 TOLL GATE RD WOUND RECOVERY AND HYPERBARIC MEDICINE CENTER
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City | WARWICK
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State | RI
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Zip | 02886-2759
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Country | US
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Telephone | 401-736-4646
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Fax | 401-736-4248
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Provider Business Mailing Address
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Address Line | 20 OLD LYME DR
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City | WARWICK
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State | RI
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Zip | 02886-9519
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Country | US
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Telephone | 401-644-7845
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4165
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License Number State | RI
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