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General NPI Number Information
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NPI Number | 1134225386
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Entity Type | Individual
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Provider Name | BRET M BALDWIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 305 RYAN CT
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City | MURPHY
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State | TX
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Zip | 75094-4720
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Country | US
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Telephone | 972-372-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 6645 VISTA DE ORO
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City | LAS CRUCES
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State | NM
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Zip | 88007-4950
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Country | US
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Telephone | 214-923-8978
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 32036
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License Number State | TX
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