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General NPI Number Information
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NPI Number | 1700151164
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Entity Type | Individual
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Provider Name | RICHARD TURNER BAXTER D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 2490 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1319
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Country | US
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Telephone | 205-419-7444
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Fax | 205-419-7336
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Provider Business Mailing Address
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Address Line | 2490 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1319
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Country | US
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Telephone | 205-419-7444
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Fax | 205-419-7336
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5946
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License Number State | AL
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