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General NPI Number Information
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NPI Number | 1578329702
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Entity Type | Individual
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Provider Name | BAYLIE PANZARELLO RN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 2888 BRIGHTSIDE DR
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City | BATON ROUGE
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State | LA
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Zip | 70820
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Country | US
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Telephone | 225-757-3273
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Fax |
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Provider Business Mailing Address
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Address Line | 336 W GREENS DR
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City | BATON ROUGE
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State | LA
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Zip | 70810-8947
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Country | US
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Telephone | 225-454-4308
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN159640
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License Number State | LA
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