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General NPI Number Information
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NPI Number | 1639964265
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Entity Type | Individual
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Provider Name | STEFAN BAUMGARTNER LAPC
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Gender | Male
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1500 CHESTNUT ST STE 2 #1396
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 215-233-1800
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Fax | 415-559-8613
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Provider Business Mailing Address
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Address Line | 4200 18TH ST STE 104
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-2449
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Country | US
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Telephone | 215-233-1800
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Fax | 415-449-8613
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 001127
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License Number State | PA
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