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General NPI Number Information
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NPI Number | 1891707964
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Entity Type | Individual
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Provider Name | CRAIG RAYMOND BAGINSKI DDS
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1605 N GARLAND AVE SUITE B
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City | GARLAND
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State | TX
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Zip | 75040-9417
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Country | US
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Telephone | 972-272-3496
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Fax | 72-272-1214
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Provider Business Mailing Address
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Address Line | 709 BALLYBUNION CIR
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City | GARLAND
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State | TX
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Zip | 75044-5125
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Country | US
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Telephone | 972-272-3496
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Fax | 972-272-1214
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14602
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License Number State | TX
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