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General NPI Number Information
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NPI Number | 1215636592
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Entity Type | Individual
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Provider Name | BENJAMIN BAUM DDS
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Gender | Male
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 9199 REISTERSTOWN RD STE 206B
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City | OWINGS MILLS
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State | MD
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Zip | 21117-4593
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Country | US
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Telephone | 410-449-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 2412 SYLVALE RD
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City | BALTIMORE
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State | MD
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Zip | 21209-1539
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Country | US
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Telephone | 917-526-0077
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 17989
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License Number State | MD
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