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General NPI Number Information
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NPI Number | 1598761918
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Entity Type | Individual
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Provider Name | MARC J BAYER MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 10 WYNDEMERE
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City | AVON
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State | CT
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Zip | 06001-3959
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Country | US
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Telephone | 860-676-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WYNDEMERE
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City | AVON
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State | CT
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Zip | 06001-3959
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Country | US
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Telephone | 860-676-1444
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Fax |
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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 | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | 032539
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License Number State | CT
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