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General NPI Number Information
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NPI Number | 1972362754
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Entity Type | Individual
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Provider Name | AMY ELIZABETH BAUMANN APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 1801 CHUKKA HINA
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City | DURANT
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State | OK
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Zip | 74701-7117
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Country | US
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Telephone | 539-316-3612
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Fax | 918-558-9878
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Provider Business Mailing Address
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Address Line | 25 COOPER LN
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City | POTTSBORO
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State | TX
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Zip | 75076-6058
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Country | US
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Telephone | 469-999-4939
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 217209
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License Number State | OK
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