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General NPI Number Information
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NPI Number | 1467565739
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Entity Type | Individual
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Provider Name | JOYCE GAIL BAYMA-JILEK D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 121 MAIN ST
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City | BUCHANAN
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State | MI
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Zip | 49107-1410
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Country | US
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Telephone | 269-695-3601
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Fax | 269-695-3694
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Provider Business Mailing Address
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Address Line | 910 WESAW RD
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City | NILES
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State | MI
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Zip | 49120-3061
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Country | US
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Telephone | 269-684-4439
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14049
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License Number State | MI
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