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General NPI Number Information
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NPI Number | 1548352917
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Entity Type | Organization
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Legal Business Name | WARREN S. BAER, DMD, PC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 PLEASANT ST
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City | WOBURN
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State | MA
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Zip | 01801-6711
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Country | US
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Telephone | 781-933-3448
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Fax |
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Provider Business Mailing Address
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Address Line | 65 PLEASANT ST
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City | WOBURN
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State | MA
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Zip | 01801-6711
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Country | US
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Telephone | 781-933-3448
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WARREN S. BAER
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Credential |
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Telephone | 781-933-3448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 11713
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License Number State | MA
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