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General NPI Number Information
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NPI Number | 1861789224
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Entity Type | Organization
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Legal Business Name | PAMELA B. BAINES, MD, PA
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 660
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-876-6010
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Fax | 813-876-8411
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Provider Business Mailing Address
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Address Line | 2727 W DR MARTIN LUTHER KING JR BLVD SUITE 660
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City | TAMPA
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State | FL
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Zip | 33607-6383
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Country | US
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Telephone | 813-876-6010
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Fax | 813-876-8411
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA B. BAINES
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Credential | MD
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Telephone | 813-876-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME0070987
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License Number State | FL
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