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General NPI Number Information
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NPI Number | 1053750315
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Entity Type | Individual
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Provider Name | JANET MARIE BAUMANN CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1758 PARK PL STE 100
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City | MONTGOMERY
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State | AL
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Zip | 36106-1133
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Country | US
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Telephone | 334-265-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 141 TENSAW RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-4125
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Country | US
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Telephone | 512-567-9248
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Fax | 334-272-6049
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-125075
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-125075
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License Number State | AL
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