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General NPI Number Information
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NPI Number | 1164630315
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Entity Type | Individual
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Provider Name | THOMAS ELMER BALDWIN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7801 YORK RD SUITE 133
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City | TOWSON
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State | MD
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Zip | 21204-7446
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Country | US
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Telephone | 410-321-0558
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Fax |
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Provider Business Mailing Address
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Address Line | 44640 SHALLOW FORD CT
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City | TALL TIMBERS
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State | MD
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Zip | 20690-2001
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Country | US
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Telephone | 301-994-3227
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | MD
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