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General NPI Number Information
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NPI Number | 1356267298
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Entity Type | Individual
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Provider Name | SAMANTHA LEIGH BAER
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 7505 METRO BLVD STE 505
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City | EDINA
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State | MN
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Zip | 55439-3018
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Country | US
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Telephone | 651-271-1665
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Fax |
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Provider Business Mailing Address
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Address Line | 5708 CAMBRIDGE ST
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City | SAINT LOUIS PARK
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State | MN
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Zip | 55416-5113
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Country | US
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Telephone | 612-965-4927
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4942
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License Number State | MN
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