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General NPI Number Information
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NPI Number | 1376780544
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Entity Type | Organization
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Legal Business Name | BAIN-BAULING COMPANY PLLC
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE BLDG SUITE350
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-482-2866
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Fax | 970-472-0114
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Provider Business Mailing Address
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Address Line | PO BOX 273242
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City | FORT COLLINS
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State | CO
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Zip | 80527-3242
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Country | US
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Telephone | 970-482-2866
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Fax | 970-472-0114
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Authorized Official
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Title or Position | OWNER
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Name | PAULUS BAULING
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Credential |
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Telephone | 970-482-2866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25951
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License Number State | CO
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