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General NPI Number Information
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NPI Number | 1699288753
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Entity Type | Organization
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Legal Business Name | BAY VIEW INPATIENT SERVICES LLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 855 N SANDUSKY AVE
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City | UPPER SANDUSKY
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State | OH
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Zip | 43351-1031
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Country | US
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Telephone | 469-401-2386
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Fax |
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 973-251-1132
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | KAREN VAUGHN
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Credential |
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Telephone | 404-450-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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