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General NPI Number Information
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NPI Number | 1144377557
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Entity Type | Individual
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Provider Name | DUSTIN JAY LAWRENCE BALDWIN MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1 HOSPITAL PLZ
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City | GRAFTON
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State | WV
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Zip | 26354-1283
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Country | US
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Telephone | 304-265-0400
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL PLZ
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City | GRAFTON
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State | WV
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Zip | 26354-1283
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Country | US
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Telephone | 304-265-0400
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L5140
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00942707
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License Number State | WV
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