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General NPI Number Information
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NPI Number | 1679900542
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Entity Type | Organization
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Legal Business Name | ERIC M BAUGHER DMD, PC
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Dates
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Enumeration Date | 10/08/2013
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 7802 TIMBERLAKE RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2602
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Country | US
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Telephone | 434-385-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 7802 TIMBERLAKE RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2602
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Country | US
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Telephone | 434-385-4746
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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. ERIC MICHAEL BAUGHER
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Credential | D.M.D.
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Telephone | 434-385-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401414206
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License Number State | VA
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