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General NPI Number Information
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NPI Number | 1871553313
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Entity Type | Individual
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Provider Name | CHERYL K BAUER-OLSON DO
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 4133 30TH AVE S STE 103
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City | FARGO
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State | ND
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Zip | 58104-8421
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Country | US
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Telephone | 701-499-4847
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Fax | 701-433-1882
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Provider Business Mailing Address
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Address Line | 2413 E COUNTRY CLUB DR S
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City | FARGO
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State | ND
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Zip | 58103-5730
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Country | US
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Telephone | 701-429-4385
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3656
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 50211
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10745
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License Number State | ND
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