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General NPI Number Information
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NPI Number | 1396871695
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Entity Type | Individual
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Provider Name | TIFFANY BAER LCSWA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 9541 JULIAN CLARK AVE STE 110
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3485
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Country | US
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Telephone | 980-358-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 6708 OLMSFORD DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-6454
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Country | US
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Telephone | 571-355-0440
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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 | 20722
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 20722
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P019739
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License Number State | NC
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