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General NPI Number Information
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NPI Number | 1215985940
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Entity Type | Individual
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Provider Name | BETTY LOUISE BALDRIDGE DPM
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 915 N GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63106-1621
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Country | US
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Telephone | 314-322-1427
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S LAKESHORE DR
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City | BYRNES MILL
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State | MO
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Zip | 63051-1126
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Country | US
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Telephone | 314-322-1427
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2004018585
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License Number State | MO
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