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General NPI Number Information
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NPI Number | 1467408187
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Entity Type | Organization
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Legal Business Name | DANIEL BAER DO PC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 2020 N ACADEMY BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1567
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Country | US
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Telephone | 719-219-2350
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Fax | 719-219-0916
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Provider Business Mailing Address
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Address Line | PO BOX 5182
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City | DENVER
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State | CO
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Zip | 80217-5182
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Country | US
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Telephone | 800-968-6866
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Fax | 616-532-7230
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL W BAER
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Credential | DO
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Telephone | 719-219-2350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 40524
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License Number State | CO
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