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General NPI Number Information
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NPI Number | 1932254000
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Entity Type | Organization
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Legal Business Name | BAHRAIN AND BAHRAIN, LLC
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 9000 FRANKLIN SQUARE DRIVE FRANKLIN SQUARE HOSPITAL DIVISION OF INFECTIOUS DISEASE
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City | BALTIMORE
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State | MD
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Zip | 21237
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Country | US
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Telephone | 443-802-7620
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Fax | 410-780-4060
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Provider Business Mailing Address
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Address Line | 12212 RUNNING FENCE LN
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1194
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Country | US
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Telephone | 443-802-7620
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Fax | 410-780-4060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHELLE L. BAHRAIN
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Credential | D.O.
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Telephone | 443-802-7620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | HOO57147
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License Number State | MD
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