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General NPI Number Information
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NPI Number | 1306038963
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Entity Type | Individual
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Provider Name | VICTOR A. BAUMGARTEN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 2468 ROARING FORK DR
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-9590
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Country | US
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Telephone | 435-218-3610
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 9 BOX 2884
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City | APO
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State | AE
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Zip | 09123-0029
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Country | US
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Telephone | 06565618285
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW002653
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 280654-3501
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License Number State | UT
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