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General NPI Number Information
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NPI Number | 1245193101
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Entity Type | Individual
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Provider Name | JAMES BALDWIN
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 700 CHIEF EDDIE HOFFMAN HWY BETHEL
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City | BETHEL
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State | AK
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Zip | 99559-0528
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Country | US
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Telephone | 907-543-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 528
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City | BETHEL
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State | AK
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Zip | 99559-0528
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Country | US
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Telephone | 907-543-6000
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 239879
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License Number State | AK
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