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General NPI Number Information
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NPI Number | 1225177702
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Entity Type | Individual
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Provider Name | BARBARA C BAUER LPC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 1041 OLD OCEAN HIGHWAY
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City | SUPPLY
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State | NC
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Zip | 28462
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Country | US
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Telephone | 910-754-7908
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Fax | 910-799-3313
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Provider Business Mailing Address
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Address Line | 610 S COLLEGE RD
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City | WILMINGTON
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State | NC
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Zip | 28403-3202
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Country | US
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Telephone | 910-799-1071
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Fax | 910-799-3313
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5268
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License Number State | NC
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