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General NPI Number Information
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NPI Number | 1467143016
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Entity Type | Individual
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Provider Name | TAMMY DELANE BALDWIN RBT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 3601 MAPLESHADE LN
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City | PLANO
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State | TX
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Zip | 75075-5753
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Country | US
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Telephone | 469-518-1358
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Fax |
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Provider Business Mailing Address
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Address Line | 7801 CREEK WOOD CT
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City | ROWLETT
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State | TX
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Zip | 75089-2403
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Country | US
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Telephone | 469-545-9780
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-246734
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License Number State | TX
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