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General NPI Number Information
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NPI Number | 1487877528
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Entity Type | Individual
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Provider Name | BRIAN DAVID BAUER D.O
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10017 CLEARY BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-1000
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Country | US
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Telephone | 954-916-1133
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Fax | 954-916-0096
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Provider Business Mailing Address
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Address Line | PO BOX 741235
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City | BOYNTON BEACH
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State | FL
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Zip | 33474-1235
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Country | US
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Telephone | 954-941-2679
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Fax | 954-941-6169
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 7924
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License Number State | FL
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