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General NPI Number Information
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NPI Number | 1154544500
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Entity Type | Individual
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Provider Name | FERN BAUDO RN, NP BC APRN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 108 CAPITOL AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-1621
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Country | US
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Telephone | 646-235-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 283 E 4TH ST APT #5A
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City | NEW YORK
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State | NY
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Zip | 10009-7533
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Country | US
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Telephone | 646-235-4633
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Fax | 646-964-4994
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 476531
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303237
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License Number State | NY
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