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General NPI Number Information
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NPI Number | 1720068869
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Entity Type | Individual
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Provider Name | STEPHANIE BAIRD AC OT
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Gender | Female
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 222 ST JOHN ST SUITE 226
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City | PORTLAND
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State | ME
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Zip | 04102
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Country | US
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Telephone | 207-871-5060
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Fax | 207-839-2197
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Provider Business Mailing Address
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Address Line | 28 SMITH ST
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-2238
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Country | US
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Telephone | 207-871-5060
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Fax |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC159
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT292
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License Number State | ME
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