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General NPI Number Information
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NPI Number | 1619118924
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Entity Type | Organization
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Legal Business Name | NEUROMIND, P.A.
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 250 CATALONIA AVE SUITE 801
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City | CORAL GABLES
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State | FL
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Zip | 33134-6735
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Country | US
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Telephone | 305-569-0025
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Fax | 305-569-0018
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Provider Business Mailing Address
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Address Line | 250 CATALONIA AVE SUITE 801
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City | CORAL GABLES
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State | FL
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Zip | 33134-6735
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Country | US
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Telephone | 305-569-0025
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Fax | 305-569-0018
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT B BAUER
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Credential | PSYD,MSCPP,LMHC
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Telephone | 305-569-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MH6316
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License Number State | FL
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