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General NPI Number Information
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NPI Number | 1114467347
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Entity Type | Individual
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Provider Name | MELISSA BALDWIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 850 TUCK ST
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City | LEBANON
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State | PA
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Zip | 17042-7477
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Country | US
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Telephone | 717-272-8173
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Fax | 717-272-4029
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone | 717-851-1405
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Fax | 717-851-6969
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP017291
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP017291
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2377445
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 116288-23
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP017291
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License Number State | PA
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