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General NPI Number Information
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NPI Number | 1972661742
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Entity Type | Organization
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Legal Business Name | G. BAIRD HELFRICH, M.D., P.A.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 3606 21ST STREET SUITE 104
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City | LUBBOCK
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State | TX
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Zip | 79410
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Country | US
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Telephone | 806-792-0595
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Fax | 806-792-9255
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Provider Business Mailing Address
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Address Line | 3606 21ST STREET SUITE 104
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City | LUBBOCK
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State | TX
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Zip | 79410
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Country | US
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Telephone | 806-792-0595
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Fax | 806-792-9255
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE BAIRD HELFRICH
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Credential | MD
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Telephone | 806-792-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | H4072
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License Number State | TX
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