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General NPI Number Information
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NPI Number | 1285838433
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Entity Type | Individual
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Provider Name | PETER ANDREW BALDWIN MD, MBA, MPH
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Gender | Male
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 113 LIELMANIS AVE
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 850-881-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 113 LIELMANIS AVE
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City | HURLBURT FIELD
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State | FL
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Zip | 32544-5613
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Country | US
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Telephone | 850-881-3307
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01065926A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01065926A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301090292
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 01065926A
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License Number State | IN
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