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General NPI Number Information
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NPI Number | 1932979317
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Entity Type | Individual
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Provider Name | JENNA MICHELLE BAER
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 990 HIGBEE DR STE B102
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City | BETHEL PARK
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State | PA
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Zip | 15102-2989
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Country | US
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Telephone | 412-835-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 4 ALLEGHENY CTR FL 7
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City | PITTSBURGH
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State | PA
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Zip | 15212-5227
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 031163-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA066191
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License Number State | PA
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