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General NPI Number Information
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NPI Number | 1083955744
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Entity Type | Individual
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Provider Name | ANGELA LAURIA BAUMANN D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 5 CONCOURSE W
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City | BRIGHTWATERS
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State | NY
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Zip | 11718-2003
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Country | US
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Telephone | 631-665-6722
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CONCOURSE W
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City | BRIGHTWATERS
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State | NY
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Zip | 11718-2003
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Country | US
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Telephone | 631-665-6722
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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 | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | 163996
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License Number State | NY
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