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General NPI Number Information
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NPI Number | 1528193281
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Entity Type | Individual
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Provider Name | RICHARD WESLEY BAUMANN O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 1532 US HIGHWAY 395 N SUITE 10
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City | GARDNERVILLE
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State | NV
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Zip | 89410-5266
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Country | US
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Telephone | 775-782-5129
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Fax | 775-782-1980
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Provider Business Mailing Address
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Address Line | PO BOX 878
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City | GARDNERVILLE
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State | NV
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Zip | 89410-0878
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Country | US
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Telephone | 775-782-5129
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Fax | 775-782-1980
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 136
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License Number State | NV
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