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General NPI Number Information
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NPI Number | 1811491533
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Entity Type | Individual
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Provider Name | TODD BAUMGARDNER LPC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 132 S MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-3132
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Country | US
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Telephone | 724-420-5038
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 HOOKSTOWN GRADE RD STE 201
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City | CLINTON
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State | PA
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Zip | 15026-1814
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Country | US
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Telephone | 412-203-3723
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC010168
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License Number State | PA
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