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General NPI Number Information
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NPI Number | 1467743518
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Entity Type | Organization
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Legal Business Name | JOSHUA E. BAUM, DMD
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 23 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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Country | US
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Telephone | 203-426-5900
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Fax | 203-426-3126
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Provider Business Mailing Address
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Address Line | 23 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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Country | US
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Telephone | 203-426-5900
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Fax | 203-426-3126
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | MRS. PATTI MCCUSKER
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Credential |
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Telephone | 203-426-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 92300
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License Number State | CT
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