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General NPI Number Information
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NPI Number | 1558312686
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Entity Type | Individual
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Provider Name | KAYE L. BAUM FNP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 830 PRAIRIE CENTER DR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7301
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Country | US
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Telephone | 952-826-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 830 PRAIRIE CENTER DR
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-7301
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0759490
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License Number State | MN
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