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General NPI Number Information
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NPI Number | 1215951470
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Entity Type | Individual
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Provider Name | SCOTT BAUM PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 275 W 96TH ST APT 26G
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City | NEW YORK
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State | NY
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Zip | 10025-6263
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Country | US
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Telephone | 212-663-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W 73RD ST APT 1D
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City | NEW YORK
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State | NY
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Zip | 10023-3013
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Country | US
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Telephone | 212-665-3908
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Fax | 212-222-8972
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 005538-1
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License Number State | NY
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