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NPI 1063678951

NPI 1063678951 : JAMES C BAUMAN HIS : SALISBURY, MD

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General NPI Number Information
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    NPI Number           |    1063678951
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES C BAUMAN HIS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/31/2008
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    Last Update Date     |    07/31/2008
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Provider Practice Location Address
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    Address Line         |    1118 E MAIN ST 
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    City                 |    SALISBURY
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    State                |    MD
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    Zip                  |    21804-4460
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    Country              |    US
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    Telephone            |    410-219-5088
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1118 E MAIN ST 
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    City                 |    SALISBURY
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    State                |    MD
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    Zip                  |    21804-4460
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    2102 002392
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    06-0000215
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    License Number State |    DE
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