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NPI 1023545506

NPI 1023545506 : MRS. DANIYEL J BAER : NORTON SHORES, MI

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General NPI Number Information
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    NPI Number           |    1023545506
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. DANIYEL J BAER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2017
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    2649 VULCAN ST 
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    City                 |    NORTON SHORES
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    State                |    MI
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    Zip                  |    49444-2343
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    Country              |    US
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    Telephone            |    231-600-7188
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    Fax                  |    231-500-0697
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Provider Business Mailing Address
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    Address Line         |    2649 VULCAN ST 
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    City                 |    NORTON SHORES
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    State                |    MI
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    Zip                  |    49444-2343
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    Country              |    US
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    Telephone            |    616-831-0135
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    Fax                  |    231-500-0697
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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        |    373H00000X
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    Taxonomy Name        |    Day Training/Habilitation Specialist
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    License Number       |    
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    License Number State |    
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