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General NPI Number Information
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NPI Number | 1881840551
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Entity Type | Organization
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Legal Business Name | STEPHANIE BAIRD
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 222 SAINT JOHN ST STE 226
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City | PORTLAND
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State | ME
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Zip | 04102-3058
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Country | US
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Telephone | 207-871-5060
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Fax | 207-839-2197
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Provider Business Mailing Address
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Address Line | 222 SAINT JOHN ST STE 226
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City | PORTLAND
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State | ME
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Zip | 04102-3058
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Country | US
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Telephone | 207-871-5060
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Fax | 207-839-2197
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | STEPHANIE BAIRD
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Credential | ACUPUNCTURIST
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Telephone | 207-871-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC159
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License Number State | ME
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