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General NPI Number Information
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NPI Number | 1811908619
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Entity Type | Individual
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Provider Name | NATHAN B BAUMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 523 N SAM HOUSTON PKWY E SUITE 125
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City | HOUSTON
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State | TX
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Zip | 77060-4036
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Country | US
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Telephone | 805-275-1834
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 ROTARY DR
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City | HUMBLE
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State | TX
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Zip | 77338-5235
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Country | US
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Telephone | 281-272-6277
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Fax | 281-272-6281
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | K5803
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | K5803
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License Number State | TX
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