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General NPI Number Information
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NPI Number | 1013360411
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Entity Type | Organization
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Legal Business Name | BAUER'S ALL ABOUT KIDS LLC
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 534 ARMORY ROAD EXT
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City | SAINT MARYS
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State | PA
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Zip | 15857-3668
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Country | US
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Telephone | 814-335-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 534 ARMORY RD.
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City | ST.MARYS
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State | PA
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Zip | 15857
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Country | US
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Telephone | 814-335-5848
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | PAULA BAUER
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Credential |
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Telephone | 814-335-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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