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General NPI Number Information
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NPI Number | 1457699001
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Entity Type | Individual
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Provider Name | ARIELE BAUERS RN, CNM
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Gender | Female
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 4705 MONTGOMERY BLVD NE STE 301
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City | ALBUQUERQUE
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State | NM
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Zip | 87109
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Country | US
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Telephone | 505-727-4500
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Fax | 505-727-4505
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Provider Business Mailing Address
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Address Line | 4705 MONTGOMERY BLVD NE STE 301
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-1234
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Country | US
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Telephone | 505-727-4500
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Fax | 505-727-4505
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 77129
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 777330
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 701
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 55838
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License Number State | NM
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