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General NPI Number Information
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NPI Number | 1689841777
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Entity Type | Organization
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Legal Business Name | ROBERT J BAUMBICK DC INC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 07/12/2012
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Provider Practice Location Address
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Address Line | 35095 CENTER RIDGE RD
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-3081
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Country | US
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Telephone | 440-353-0707
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Fax | 440-353-0252
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Provider Business Mailing Address
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Address Line | 35095 CENTER RIDGE RD
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-3081
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Country | US
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Telephone | 440-353-0707
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Fax | 440-353-0252
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT J BAUMBICK
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Credential | DC
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Telephone | 440-353-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2431
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License Number State | OH
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