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General NPI Number Information
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NPI Number | 1285026757
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Entity Type | Individual
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Provider Name | CHRIS BAUMANN RD, LD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 648 HIGHWAY 334
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City | COMMERCE
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State | GA
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Zip | 30530-5987
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Country | US
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Telephone | 706-336-3921
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 FALLING WATER LN
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City | HOSCHTON
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State | GA
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Zip | 30548-8204
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Country | US
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Telephone | 706-362-6166
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD003439
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License Number State | GA
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