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General NPI Number Information
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NPI Number | 1528004496
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Entity Type | Individual
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Provider Name | WILLIAM H BAUMGARTL MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 4454 N DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89130
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Country | US
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Telephone | 702-839-1203
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Fax | 702-839-1301
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Provider Business Mailing Address
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Address Line | 4454 N DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89130
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Country | US
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Telephone | 702-507-0983
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Fax | 702-839-1301
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G67802
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 13914
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G067802
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G067802
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | G067802
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License Number State | CA
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