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General NPI Number Information
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NPI Number | 1497542401
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Entity Type | Individual
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Provider Name | MARC BAPTISTE
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Gender | Male
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1145 WINDMILL HARBOR WAY APT 104
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City | BRANDON
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State | FL
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Zip | 33511-8200
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Country | US
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Telephone | 407-919-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # NTE
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 407-919-8350
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | B132541760920
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License Number State | FL
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