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General NPI Number Information
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NPI Number | 1912311127
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Entity Type | Individual
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Provider Name | ARIELLE ANN BAUER MD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-251-6137
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Fax |
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Provider Business Mailing Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-251-6137
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD211430
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2019008255
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A168105
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19487
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License Number State | NV
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