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General NPI Number Information
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NPI Number | 1427864164
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Entity Type | Individual
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Provider Name | JESSICA LYNN BAGINSKI MSN, RN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/07/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 15711 CAMERON ST
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City | SOUTHGATE
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State | MI
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Zip | 48195-3246
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Country | US
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Telephone | 734-752-3884
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704364264
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License Number State | MI
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