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General NPI Number Information
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NPI Number | 1245057660
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Entity Type | Individual
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Provider Name | MICHELLE L BAXTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 214 W SUNSET AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8305
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Country | US
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Telephone | 208-758-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 214 W SUNSET AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8305
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Country | US
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Telephone | 208-758-7878
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 49336
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5661072
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License Number State | ID
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