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NPI 1053295899

NPI 1053295899 : ABIGAIL CASTLE BALDWIN DMD : FAIRPORT, NY

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General NPI Number Information
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    NPI Number           |    1053295899
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL CASTLE BALDWIN DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2025
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    6800 PITTSFORD PALMYRA RD STE 110 
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    City                 |    FAIRPORT
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    State                |    NY
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    Zip                  |    14450-3514
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    Country              |    US
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    Telephone            |    585-223-5330
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    69 ATWOOD DR 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14606-4564
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    Country              |    US
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    Telephone            |    360-710-5124
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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        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    064738
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    License Number State |    NY
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