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General NPI Number Information
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NPI Number | 1538230263
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Entity Type | Individual
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Provider Name | DOUGLAS MURRAY BAIRD III DO
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 13540 WALSINGHAM RD
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City | LARGO
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State | FL
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Zip | 33774-3546
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Country | US
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Telephone | 727-593-5492
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Fax | 727-593-5440
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Provider Business Mailing Address
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Address Line | 13540 WALSINGHAM RD
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City | LARGO
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State | FL
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Zip | 33774-3546
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Country | US
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Telephone | 727-593-5492
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Fax | 727-593-5440
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS2471
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License Number State | FL
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