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General NPI Number Information
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NPI Number | 1720180573
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Entity Type | Individual
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Provider Name | ROBERT THOMAS BAIRD DDS PC
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 308 BEDELL AVE
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City | WOODBINE
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State | GA
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Zip | 31569-0488
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Country | US
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Telephone | 912-576-5506
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Fax | 912-576-5888
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | WOODBINE
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State | GA
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Zip | 31569-0488
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Country | US
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Telephone | 912-576-5506
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Fax | 912-576-5888
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 9525
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License Number State | GA
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