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General NPI Number Information
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NPI Number | 1205632437
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Entity Type | Organization
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Legal Business Name | BAEDER COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 101 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2725
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Country | US
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Telephone | 850-381-2963
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Fax |
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Provider Business Mailing Address
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Address Line | 101 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-2725
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Country | US
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Telephone | 850-381-2963
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MORGAN BAEDER
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Credential | LCSW
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Telephone | 850-381-2963
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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 |
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License Number State |
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