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General NPI Number Information
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NPI Number | 1962684662
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Entity Type | Individual
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Provider Name | SONDRA LYNN BAUMCRATZ PA
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Gender | Female
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 155 WILSON AVE WASHINGTON HOSPITAL
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City | WASHINGTON
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State | PA
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Zip | 15301-3336
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Country | US
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Telephone | 724-223-3342
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Fax | 610-617-6280
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Provider Business Mailing Address
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Address Line | PO BOX 640631 EMERGENCY MEDICINE WASHINGTON HOSPITAL
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City | PITTSBURGH
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State | PA
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Zip | 15264-0631
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Country | US
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Telephone | 610-668-6491
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Fax | 610-617-6280
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA002726L
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License Number State | PA
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