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General NPI Number Information
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NPI Number | 1235950239
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Entity Type | Individual
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Provider Name | ABIGAIL PATRICE BAUMANN M. ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1965 N PARK PL SE # 100
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City | ATLANTA
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State | GA
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Zip | 30339-2004
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Country | US
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Telephone | 423-580-8124
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Fax |
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Provider Business Mailing Address
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Address Line | 451 GAILLARDIA WAY NW
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City | ACWORTH
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State | GA
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Zip | 30102-8126
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP013310
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License Number State | GA
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