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General NPI Number Information
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NPI Number | 1689862492
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Entity Type | Organization
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Legal Business Name | BAYVIEW INTERNAL MEDICINE, INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 222 CARTER DR SUITE 103
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City | MIDDLETOWN
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State | DE
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Zip | 19709-5854
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Country | US
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Telephone | 302-376-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 222 CARTER DR SUITE 103
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City | MIDDLETOWN
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State | DE
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Zip | 19709-5854
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Country | US
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Telephone | 302-376-6100
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN HOWARD O'NEILL
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Credential | DO
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Telephone | 302-376-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C20003347
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License Number State | DE
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