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General NPI Number Information
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NPI Number | 1457950891
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Entity Type | Individual
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Provider Name | LAURA JEAN BAUS BS, RDH, MDH, PHDH
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Gender | Female
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Dates
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Enumeration Date | 10/17/2020
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Last Update Date | 10/17/2020
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Provider Practice Location Address
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Address Line | 519 E BODE RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-6897
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Country | US
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Telephone | 224-279-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 519 E BODE RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-6897
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Country | US
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Telephone | 224-279-5681
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH16948
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 020.005374
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 020.005374
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 020.005374
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 020.005374
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 020.005374
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License Number State | IL
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Taxonomy #7
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 020.005374
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 020.005374
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 020.005374
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License Number State | IL
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Taxonomy #10
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 020.005374
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 020.005374
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License Number State | IL
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Taxonomy #12
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 020.005374
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License Number State | IL
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Taxonomy #13
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number | 020.005374
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License Number State | IL
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Taxonomy #14
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number | 020.005374
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License Number State | IL
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Taxonomy #15
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 020.005374
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License Number State | IL
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