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General NPI Number Information
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NPI Number | 1932355047
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Entity Type | Individual
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Provider Name | ANDRES BAQUERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2008
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 1825 EASTCHESTER RD
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City | BRONX
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State | NY
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Zip | 10461-2301
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Country | US
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Telephone | 551-996-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3059 STEINWAY ST APT 2A
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City | ASTORIA
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State | NY
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Zip | 11103-3806
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Country | US
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Telephone |
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA08065700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A118090
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA08065700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P3285
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 247862
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A118090
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P3285
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 247862
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License Number State | NY
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