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General NPI Number Information
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NPI Number | 1427187095
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Entity Type | Individual
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Provider Name | CHRISTOPHER G. BAUER PHD
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Gender | Male
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 229 WARD CIR SUITE B-21
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City | BRENTWOOD
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State | TN
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Zip | 37027-7518
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Country | US
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Telephone | 615-268-8726
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Fax | 615-658-9995
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Provider Business Mailing Address
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Address Line | 1604 BURTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37215-3018
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Country | US
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Telephone | 615-268-8726
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Fax | 615-658-9995
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P001689
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License Number State | TN
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