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General NPI Number Information
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NPI Number | 1265660393
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Entity Type | Individual
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Provider Name | KRISTIN BALDEA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2009
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1921 WALDEMERE ST STE 310
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City | SARASOTA
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State | FL
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Zip | 34239-2941
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Country | US
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Telephone | 941-917-5400
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Fax | 941-917-5420
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Provider Business Mailing Address
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Address Line | PO BOX 947407
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City | ATLANTA
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State | GA
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Zip | 30394-7407
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Country | US
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Telephone | 941-917-2600
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Fax | 941-917-7884
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 036135350
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125055917
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME177545
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License Number State | FL
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