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General NPI Number Information
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NPI Number | 1871747238
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Entity Type | Individual
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Provider Name | HEATHER ILYCIA BAUMHARDT DDS
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Gender | Female
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 3RD FLOOR MAIN HOSPITAL BLDG CHILDREN'S HOSPITAL DRIVE, 45TH AND PENN
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City | PITTSBURGH
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State | PA
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Zip | 15201
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Country | US
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Telephone | 412-692-5387
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Fax | 412-692-7946
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Provider Business Mailing Address
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Address Line | 3RD FLOOR MAIN HOSPITAL BLDG CHILDREN'S HOSPITAL DRIVE, 45TH AND PENN
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City | PITTSBURGH
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State | PA
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Zip | 15201
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Country | US
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Telephone | 412-692-5387
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Fax | 412-692-7946
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 052841
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS037803
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License Number State | PA
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