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General NPI Number Information
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NPI Number | 1457880072
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Entity Type | Individual
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Provider Name | ARIE WILLIAM BAUER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 501 MAIN ST
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City | WILLISTON
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State | ND
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Zip | 58801
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Country | US
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Telephone | 701-577-2261
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Fax |
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Provider Business Mailing Address
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Address Line | 501 MAIN ST
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City | WILLISTON
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State | ND
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Zip | 58801-5327
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Country | US
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Telephone | 701-578-4901
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DDS-09420
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2342
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License Number State | ND
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