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NPI Code Detail

MEDICARE: ALLISON NICOLE BAUM

MEDICARE: ALLISON NICOLE BAUM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist46002156AIN

General Provider Information

NPI Number : 1376846329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON NICOLE BAUM
Provider Business Mailing Address
First Line : 857 S MULBERRY ST
Second Line :
City : BATESVILLE
State : IN
Zip : 47006-8814
Country : US
Telephone Number : 317-254-3300
Fax Number :
Provider Business Practice Location Address
First Line : 6060 N COLLEGE AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1907
Country : US
Telephone Number : 317-254-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2010
Last Update Date : 12/14/2010

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Directions to “ ALLISON NICOLE BAUM ” Practice Location

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