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General NPI Number Information
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NPI Number | 1477630242
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Entity Type | Organization
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Legal Business Name | BAUGH EYECARE ASSOCIATES, PA
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 3116 SOUTH OLIVE
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-535-0151
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Fax | 870-535-0167
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Provider Business Mailing Address
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Address Line | 3116 SOUTH OLIVE
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-535-0151
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Fax | 870-535-0167
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. STEPHEN BAUGH
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Credential | OD
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Telephone | 870-535-0151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 24202009
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License Number State | AR
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