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General NPI Number Information
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NPI Number | 1548339765
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Entity Type | Individual
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Provider Name | REGINA MARIE BAIRD CPNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1045 NAMEOKE ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4906
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Country | US
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Telephone | 718-327-3723
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Fax | 718-327-6813
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Provider Business Mailing Address
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Address Line | 2061 FREEMAN AVE
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City | BELLMORE
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State | NY
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Zip | 11710-3006
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Country | US
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Telephone | 516-785-7050
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 380580-1
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License Number State | NY
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