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General NPI Number Information
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NPI Number | 1740321371
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Entity Type | Individual
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Provider Name | SHIRLEY T BAUMAN PA-C, MPAS
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 650 JOEL DRIVE EMERGENCY DEPARTMENT
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City | FORT CAMPBELL
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State | KY
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Zip | 42223
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Country | US
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Telephone | 270-798-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 651 DUNLOP LN
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5015
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Country | US
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Telephone | 931-502-1300
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0003472
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1914
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License Number State | TN
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