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General NPI Number Information
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NPI Number | 1386586956
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Entity Type | Individual
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Provider Name | JOHN ANTHONY BAUM LAC
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Gender | Male
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 13 COLLINGSWOOD PL
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City | FLANDERS
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State | NJ
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Zip | 07836-9317
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Country | US
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Telephone | 908-304-8377
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Fax |
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Provider Business Mailing Address
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Address Line | 13 COLLINGSWOOD PL
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City | FLANDERS
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State | NJ
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Zip | 07836-9317
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00388900
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License Number State | NJ
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