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General NPI Number Information
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NPI Number | 1104952779
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Entity Type | Organization
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Legal Business Name | BAEHR & BAEHR, LTD.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4711 GOLF RD SUITE 414
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City | SKOKIE
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State | IL
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Zip | 60076-1224
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Country | US
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Telephone | 847-674-8060
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Fax | 847-674-8065
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Provider Business Mailing Address
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Address Line | 4711 GOLF RD SUITE 414
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City | SKOKIE
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State | IL
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Zip | 60076-1224
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Country | US
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Telephone | 847-674-8060
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Fax | 847-674-8065
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ELSA BAEHR
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Credential | PH. D.
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Telephone | 847-674-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | IL
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