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General NPI Number Information
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NPI Number | 1780785105
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Entity Type | Individual
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Provider Name | RONALD BAINBRIDGE MBBS
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/23/2024
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Provider Practice Location Address
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Address Line | 234 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 718-579-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 154 DAISY FARMS DR
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-1034
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Country | US
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Telephone | 914-576-8792
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 190833
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License Number State | NY
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