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General NPI Number Information
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NPI Number | 1679780589
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Entity Type | Individual
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Provider Name | RONALD J BAIER L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1342 COLONIAL BLVD SUITE H-64
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City | FORT MYERS
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State | FL
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Zip | 33907-1013
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Country | US
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Telephone | 239-274-0676
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Fax | 239-274-0675
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Provider Business Mailing Address
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Address Line | 1342 COLONIAL BLVD SUITE H-64
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City | FORT MYERS
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State | FL
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Zip | 33907-1013
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Country | US
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Telephone | 239-274-0676
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Fax | 239-274-0675
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW6150
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License Number State | FL
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