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NPI Code Detail

MEDICARE: ANDREW JOSHUA BAUMANN

MEDICARE: ANDREW JOSHUA BAUMANN
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
1101Y00000XCounselor
2101YP2500XProfessional Counselor
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1669134649
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JOSHUA BAUMANN
Provider Business Mailing Address
First Line : 8310 149TH AVE
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-1215
Country : US
Telephone Number : 929-456-7405
Fax Number :
Provider Business Practice Location Address
First Line : 2907 CLEARWATER RD STE 100
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56301-6191
Country : US
Telephone Number : 929-456-7405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 10/07/2021

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Directions to “ ANDREW JOSHUA BAUMANN ” Practice Location

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