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General NPI Number Information
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NPI Number | 1821610601
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Entity Type | Organization
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Legal Business Name | MICHELE BAUER, CNM, LLC
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 577 BROAD ST
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City | CENTRAL FALLS
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State | RI
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Zip | 02863-2837
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Country | US
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Telephone | 401-424-5599
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Fax | 401-246-8271
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Provider Business Mailing Address
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Address Line | 2 COOKE ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-2006
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Country | US
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Telephone | 401-424-5599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE BAUER
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Credential | CNM
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Telephone | 401-424-5599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number |
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License Number State |
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