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General NPI Number Information
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NPI Number | 1417810748
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Entity Type | Individual
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Provider Name | CHAD BAUMAN
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Gender | Male
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 8009 TERRY RD
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City | LOUISVILLE
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State | KY
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Zip | 40258-2669
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Country | US
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Telephone | 502-836-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 46 LAKE AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-3306
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | KY
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