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General NPI Number Information
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NPI Number | 1760705719
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Entity Type | Individual
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Provider Name | JAMIE BAUX-JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 414 EAGLE ROCK AVE STE 105
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4229
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Country | US
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Telephone | 973-736-1365
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Fax | 973-736-1366
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Provider Business Mailing Address
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Address Line | 414 EAGLE ROCK AVE STE 105
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4229
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Country | US
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Telephone | 973-736-1365
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Fax | 973-736-1366
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 60256157
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09176700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA09176700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 25MA09176700
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License Number State | NJ
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