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General NPI Number Information
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NPI Number | 1841448453
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Entity Type | Individual
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Provider Name | AMY LYNN BAUER ANP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 3190 N SWAN RD
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City | TUCSON
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State | AZ
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Zip | 85712-1227
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Country | US
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Telephone | 520-547-9700
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Fax | 520-547-9716
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Provider Business Mailing Address
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Address Line | 5055 E BROADWAY BLVD A-100
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City | TUCSON
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State | AZ
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Zip | 85711-3640
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Country | US
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Telephone | 520-327-0460
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Fax | 520-795-0225
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN-173601
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP7502
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License Number State | AZ
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