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General NPI Number Information
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NPI Number | 1023357050
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Entity Type | Organization
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Legal Business Name | JAMES BAUMANN, D.O. PC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 4855 E BROWN RD SUITE 100
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City | MESA
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State | AZ
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Zip | 85205-8007
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Country | US
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Telephone | 480-981-5995
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Fax | 480-807-4211
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Provider Business Mailing Address
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Address Line | 4855 E BROWN RD SUITE 100
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City | MESA
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State | AZ
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Zip | 85205-8007
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Country | US
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Telephone | 480-981-5995
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Fax | 480-807-4211
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES BAUMANN
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Credential | D.O.
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Telephone | 480-981-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1868
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License Number State | AZ
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