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General NPI Number Information
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NPI Number | 1922261189
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Entity Type | Organization
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Legal Business Name | BAUM PSYCHIATRIC, PLLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 241 SAINT MARYS RD
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2521
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Country | US
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Telephone | 919-732-2897
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Fax | 919-241-3135
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Provider Business Mailing Address
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Address Line | 602 ORCHARD PL
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8495
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Country | US
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Telephone | 919-732-2897
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. STEPHAN FREDRICK BAUM
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Credential | M.D.
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Telephone | 919-732-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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