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General NPI Number Information
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NPI Number | 1649369109
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Entity Type | Organization
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Legal Business Name | THE PADDY JIM BAGGOT MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 3020 WILSHIRE BLVD SUITE #219
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City | LOS ANGELES
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State | CA
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Zip | 90010-1120
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Country | US
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Telephone | 213-386-2606
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Fax | 213-386-2603
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Provider Business Mailing Address
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Address Line | 3020 WILSHIRE BLVD SUITE 219
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City | LOS ANGELES
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State | CA
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Zip | 90010-1120
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Country | US
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Telephone | 213-386-2606
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Fax | 213-386-2603
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Authorized Official
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Title or Position | OWNER
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Name | DR. PATRICK JAMES BAGGOT
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Credential | MD
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Telephone | 818-448-0213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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