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General NPI Number Information
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NPI Number | 1396379335
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Entity Type | Individual
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Provider Name | HEATHER MARIE BAUGHMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 701 HOSPITAL LOOP BLDG 9008
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City | FAIRCHILD AFB
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State | WA
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Zip | 99011-8704
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Country | US
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Telephone | 509-247-5820
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Fax |
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Provider Business Mailing Address
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Address Line | 701 HOSPITAL LOOP
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City | FAIRCHILD AFB
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State | WA
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Zip | 99011-8704
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-5139
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License Number State | ID
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Taxonomy #2
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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 |
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License Number State |
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