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General NPI Number Information
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NPI Number | 1013255348
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Entity Type | Individual
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Provider Name | ANGIE MARIE BAUER RDH
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Gender | Female
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 324 MONGER ST
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City | OXFORD
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State | AL
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Zip | 36203-1240
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Country | US
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Telephone | 256-835-4777
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Fax |
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Provider Business Mailing Address
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Address Line | 16 OREAR LN
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City | OXFORD
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State | AL
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Zip | 36203-3941
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Country | US
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Telephone | 503-385-3818
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 7444
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H6084
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License Number State | OR
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