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General NPI Number Information
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NPI Number | 1679620009
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Entity Type | Organization
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Legal Business Name | DR CHRISTINE J BAUER
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 401 FULTON ST
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City | WESTBURY
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State | NY
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Zip | 11590-1222
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Country | US
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Telephone | 516-333-7770
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Fax |
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Provider Business Mailing Address
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Address Line | 401 FULTON ST
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City | WESTBURY
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State | NY
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Zip | 11590-1222
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Country | US
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Telephone | 516-333-7770
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Fax |
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Authorized Official
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Title or Position | PHYSCIAN
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Name | DR. CHRISTINE JUDITH BAUER
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Credential | DC,LAC.
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Telephone | 516-333-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 001796 1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | XOO4598 1
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License Number State | NY
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