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General NPI Number Information
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NPI Number | 1043531494
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Entity Type | Individual
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Provider Name | JESSICA DOUGLAS BAUERLE MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-3181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94645
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City | SEATTLE
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State | WA
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Zip | 98124-6945
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2015015491
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD70006574
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 2015015491
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | MD70006574
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License Number State | WA
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