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General NPI Number Information
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NPI Number | 1821216607
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Entity Type | Individual
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Provider Name | MELISSA S BAYNE DO
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 230 S MAPLE ST
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City | GRANT
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State | MI
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Zip | 49327-9006
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Country | US
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Telephone | 231-834-5995
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Fax | 231-924-0248
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE MC 845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 616-486-6790
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Fax | 616-486-6702
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101016860
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License Number State | MI
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