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General NPI Number Information
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NPI Number | 1164522041
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Entity Type | Organization
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Legal Business Name | PATRICIA BAER & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 36 W 8TH ST
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City | HOLLAND
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State | MI
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Zip | 49423-2701
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Country | US
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Telephone | 616-392-6116
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Fax | 616-399-6335
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Provider Business Mailing Address
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Address Line | 151 LAKEVIEW AVE
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City | HOLLAND
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State | MI
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Zip | 49424-2250
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Country | US
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Telephone | 616-392-6116
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Fax | 616-399-6335
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Authorized Official
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Title or Position | MEMBER PROVIDER
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Name | PATRICIA BAER
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Credential | LMSW, ACSW
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Telephone | 616-392-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801062614
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License Number State | MI
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