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General NPI Number Information
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NPI Number | 1699550350
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Entity Type | Individual
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Provider Name | NATALIE ERIN BAUR LSW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 2835 N SHEFFIELD AVE STE 304
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City | CHICAGO
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State | IL
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Zip | 60657-5084
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Country | US
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Telephone | 312-291-1595
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Fax |
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Provider Business Mailing Address
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Address Line | 1817 MARKHAM WAY
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City | SACRAMENTO
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State | CA
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Zip | 95818-3016
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Country | US
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Telephone | 707-338-9881
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150.110846
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License Number State | IL
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