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Individual
SUZANNE C BAUM
Active
Individual
SUZANNE C BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R151146
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131282
PRIORITY PARTNERS
MD
01
—
83107003
CAREFIRST
MD
01
—
9373824
NCPPO
—
01
—
W4320004
BLUE CHOICE
DC
Enumeration date
12/28/2006
Last updated
07/08/2007
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