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General NPI Number Information
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NPI Number | 1235206301
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Entity Type | Individual
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Provider Name | CONSTANCE J BAUER MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 111 S GRANT AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-4701
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Country | US
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Telephone | 614-566-9506
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Fax | 614-566-8224
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Provider Business Mailing Address
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Address Line | 111 S GRANT AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-4701
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Country | US
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Telephone | 614-566-9506
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Fax | 614-566-8224
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35-05-0451
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License Number State | OH
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