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General NPI Number Information
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NPI Number | 1750697942
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Entity Type | Individual
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Provider Name | DANIELLE BAUER D.D.S., M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 1880 N ROSELLE RD SUITE 212
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City | SCHAUMBURG
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State | IL
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Zip | 60195-3197
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Country | US
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Telephone | 847-882-3360
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Fax |
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Provider Business Mailing Address
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Address Line | 911 GENESEE DR
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City | NAPERVILLE
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State | IL
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Zip | 60563-4114
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Country | US
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Telephone | 630-310-8562
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 021.002356
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 019.027391
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License Number State | IL
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