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General NPI Number Information
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NPI Number | 1194606566
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Entity Type | Individual
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Provider Name | MYRNA BAUDIN APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4405 SW 160TH AVE APT 200
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City | MIRAMAR
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State | FL
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Zip | 33027-5738
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Country | US
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Telephone | 786-317-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 SW 160TH AVE APT 200
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City | MIRAMAR
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State | FL
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Zip | 33027-5738
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Country | US
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Telephone | 786-317-3430
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11042330
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN9196461
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License Number State | FL
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