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Individual
TARA NICOLE BAIER
Active
Individual
TARA NICOLE BAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00261800
NJ
363A00000X
Physician Assistant
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004692
NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
1190522
NCCPA ID NUMBER
—
01
—
2000034224
BOC CERTIFICATION NUMBER
—
Enumeration date
11/12/2019
Last updated
01/17/2025
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