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General NPI Number Information
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NPI Number | 1437297793
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Entity Type | Individual
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Provider Name | JOANNE BENJAMIN BAUMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9401 W GARFIELD ST
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City | TOLLESON
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State | AZ
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Zip | 85353-1606
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Country | US
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Telephone | 623-907-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 7770 E CAMELBACK RD UNIT 15
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-2286
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Country | US
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Telephone | 480-365-8813
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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