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General NPI Number Information
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NPI Number | 1215171327
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Entity Type | Individual
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Provider Name | VICTOR BAUER
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Gender | Male
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 600 FORBES AVE
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City | PITTSBURGH
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State | PA
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Zip | 15282-0001
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Country | US
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Telephone | 412-396-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 676 MEANS AVE
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City | PITTSBURGH
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State | PA
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Zip | 15202-3020
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Country | US
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Telephone | 412-766-8691
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT001159A
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License Number State | PA
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