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General NPI Number Information
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NPI Number | 1265573513
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Entity Type | Individual
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Provider Name | CRAIG A. BAUMANN D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | N97 W17095 DIVISION RD
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City | GERMANTOWN
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State | WI
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Zip | 53022
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Country | US
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Telephone | 262-251-1669
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Fax | 262-251-1583
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Provider Business Mailing Address
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Address Line | N97 W17095 DIVISION RD
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City | GERMANTOWN
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State | WI
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Zip | 53022
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Country | US
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Telephone | 262-251-1669
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Fax | 262-251-1583
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5001700-015
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License Number State | WI
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