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General NPI Number Information
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NPI Number | 1831220508
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Entity Type | Individual
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Provider Name | MARY BETH BAUMGARDNER BA
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 812 TOWN HILL RD
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City | LOUISA
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State | KY
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Zip | 41230-6396
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Country | US
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Telephone | 606-483-0729
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Fax | 606-638-3003
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Provider Business Mailing Address
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Address Line | PO BOX 1363
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City | LOUISA
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State | KY
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Zip | 41230-4363
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Country | US
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Telephone | 606-483-0729
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Fax | 606-638-3003
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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