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General NPI Number Information
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NPI Number | 1952411423
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Entity Type | Individual
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Provider Name | DANIEL ROBERT BAXTER MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 2210 E. ILLINOIS AVE SUITE 401
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City | FRESNO
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State | CA
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Zip | 93701
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Country | US
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Telephone | 559-320-0531
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Fax | 559-320-0539
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Provider Business Mailing Address
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Address Line | 4910 E. CLINTON WAY SUITE 101
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City | FRESNO
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State | CA
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Zip | 93727-1505
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Country | US
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Telephone | 559-443-2682
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Fax | 559-443-2681
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | G86197
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | G86197
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G86197
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License Number State | CA
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