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General NPI Number Information
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NPI Number | 1548943061
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Entity Type | Individual
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Provider Name | CHAZ JAMES BAUER DDS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 923 1ST ST S
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City | CARRINGTON
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State | ND
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Zip | 58421-2004
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Country | US
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Telephone | 701-652-2801
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Fax |
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Provider Business Mailing Address
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Address Line | 847 1ST ST N
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City | CARRINGTON
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State | ND
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Zip | 58421-1201
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Country | US
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Telephone | 701-650-0543
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2488
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License Number State | ND
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