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General NPI Number Information
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NPI Number | 1689735334
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Entity Type | Organization
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Legal Business Name | BAYVIEW OBGYN, P.C.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 BURDETTE ST
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City | SAINT IGNACE
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State | MI
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Zip | 49781-1712
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Country | US
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Telephone | 231-487-2340
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Fax | 231-487-2115
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Provider Business Mailing Address
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Address Line | 560 W MITCHELL ST STE 210
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City | PETOSKEY
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State | MI
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Zip | 49770-2275
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Country | US
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Telephone | 231-487-2340
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Fax | 231-487-2115
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Authorized Official
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Title or Position | BILLING MANGER
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Name | ELAYNE L BEHLING
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Credential |
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Telephone | 231-487-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MI
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