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General NPI Number Information
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NPI Number | 1730486861
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Entity Type | Organization
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Legal Business Name | JOANNE BADER MD PC
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 4231 POSTAL CT SUITE 101
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City | PASADENA
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State | MD
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Zip | 21122-4439
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Country | US
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Telephone | 410-437-1000
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Fax | 443-637-3720
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Provider Business Mailing Address
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Address Line | 4231 POSTAL CT SUITE 101
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City | PASADENA
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State | MD
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Zip | 21122-4439
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Country | US
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Telephone | 410-437-1000
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Fax | 443-637-3720
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOANNE BADER
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Credential | MD
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Telephone | 410-437-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D0039647
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License Number State | MD
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