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General NPI Number Information
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NPI Number | 1790913630
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Entity Type | Individual
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Provider Name | EDWARD M BAYNHAM JR. DPM
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Gender | Male
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 1570 FISHINGER RD
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City | COLUMBUS
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State | OH
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Zip | 43221-2114
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Country | US
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Telephone | 614-451-7033
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Fax | 614-451-7080
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Provider Business Mailing Address
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Address Line | 1570 FISHINGER RD
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City | COLUMBUS
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State | OH
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Zip | 43221-2114
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Country | US
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Telephone | 989-621-3607
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Fax | 614-451-7080
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC006106
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 003618
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License Number State | OH
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