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General NPI Number Information
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NPI Number | 1497640213
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Entity Type | Organization
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Legal Business Name | BALDWIN FAMILY HEALTH CARE
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 15044 220TH AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-9248
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Country | US
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Telephone | 231-527-7160
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Fax | 231-622-4157
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Provider Business Mailing Address
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Address Line | PO BOX 706
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City | WHITE CLOUD
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State | MI
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Zip | 49349-0706
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Country | US
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Telephone | 231-689-7156
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Fax | 231-689-3869
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. JULIE TATKO
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Credential |
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Telephone | 231-745-5482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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