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General NPI Number Information
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NPI Number | 1215244876
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Entity Type | Individual
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Provider Name | SONJA BAUMER
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1904 FRANKLIN ST STE 312
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City | OAKLAND
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State | CA
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Zip | 94612-2921
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Country | US
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Telephone | 858-922-3855
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Fax | 510-868-1044
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Provider Business Mailing Address
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Address Line | 1904 FRANKLIN ST STE 312
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City | OAKLAND
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State | CA
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Zip | 94612-2921
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Country | US
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Telephone | 858-922-3855
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Fax | 510-868-1044
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 84141
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License Number State | CA
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