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General NPI Number Information
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NPI Number | 1497819619
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Entity Type | Organization
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Legal Business Name | NORTH BALDWIN OB GYN PC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2002 MEDICAL CENTER DR
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City | BAY MINETTE
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State | AL
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Zip | 36507-4163
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Country | US
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Telephone | 251-937-7474
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Fax | 251-937-4540
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Provider Business Mailing Address
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Address Line | 2002 MEDICAL CENTER DR
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City | BAY MINETTE
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State | AL
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Zip | 36507-4163
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Country | US
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Telephone | 251-937-7474
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Fax | 251-937-4540
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. MARIANNE F SMITH
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Credential |
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Telephone | 251-937-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00017877
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License Number State | AL
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