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Individual

MR. ROBERT DARRELL BAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R62985
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000008858
AL
01
650015260
MEDICARE RAILROAD
AL
Enumeration date
12/30/2005
Last updated
11/30/2010
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