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General NPI Number Information
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NPI Number | 1932320959
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Entity Type | Individual
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Provider Name | H ROBERT BAUMAN II D.V.M.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1340 PALM BAY RD.
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City | PALM BAY
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State | FL
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Zip | 32905
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Country | US
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Telephone | 321-725-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 122 BRANDY CREEK CIRCLE SE
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City | PALM BAY
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State | FL
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Zip | 32909
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Country | US
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Telephone | 321-725-9770
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | VM9596
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License Number State | FL
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