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General NPI Number Information
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NPI Number | 1265675599
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Entity Type | Individual
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Provider Name | NATALIE E BAXTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 520 MEDICAL CENTER DR STE 300
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City | MEDFORD
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State | OR
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Zip | 97504-4334
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Country | US
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Telephone | 541-282-6559
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Fax | 541-282-6710
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Provider Business Mailing Address
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Address Line | 520 MEDICAL CENTER DR STE 300
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City | MEDFORD
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State | OR
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Zip | 97504-4334
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Country | US
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Telephone | 541-282-6559
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Fax | 541-282-6710
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60064002
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License Number State | WA
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